Linda Marie Freitag, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.014084 Issued in IL

Practice address

401 Hereley Dr
Harvard, IL 60033-8370

Phone

(181) 594-3612

Fax

(815) 943-6125

NPI assigned

Dec 6, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1538674064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ROLLING LN",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472333",
            "telephone_number": "262-903-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HERELEY DR",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600338370",
            "telephone_number": "181-594-3612",
            "fax_number": "815-943-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6225041B",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sammy T Dean, MD
• Tina Dilts
• Norma G Figueroa, LCSW
• Melissa K Flies, SLP
• Lauren Flood
• Victor I Garber, MD
• Geoffrey J Gentry, PT
• Elizabeth J Goad, RD
• Cheryl Grieshop, CCC-SLP/L
• Joseph Frank Hagenbruch, D.M.D.

• Speech-Language Pathologist in Harvard, IL
• Providers in Harvard, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.