Victoria Elizabeth Deku, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Genoa, IL
NPI 1558828947 · NPPES record last updated Feb 22, 2019
Key facts
- NPI
- 1558828947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 14045118 (IL)
- Practice address
- 123 W 1St St
Genoa, IL 60135-1016 - Phone
- (708) 567-4234
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14045118 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14045118 | IL | Yes |
Addresses
Primary practice location
123 W 1St St
Genoa, IL 60135-1016
Mailing address
123 W 1St St
Genoa, IL 60135-1016
Phone (708) 567-4234
Other names
- Victoria Elizabeth Miller
Other providers in Genoa, IL
- Allison Marie Brown
- Kristin Brust
- Jeffrey T Caron
- Jacqueline Ortiz Contreras
- David N McAuslan DDS PC
- Steven J Disanti
- Dr Hilda Hattar DC PC
- Justin Tyler Durancik
- Joshua Benjamin Eriks
- Family First Physicians SC
All providers in Genoa, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.