Cheryl Lynn Frazier, SLP/A-L
Individual provider Active NPI Speech-Language Assistant · Channahon, IL
NPI 1588090880 · NPPES record last updated Jun 12, 2016
Key facts
- NPI
- 1588090880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 217000034 (IL)
- Practice address
- 24536 W Bluff Rd
Channahon, IL 60410-9636 - Phone
- (815) 931-5977
- Fax
- (815) 521-9295
- NPI assigned
- Sep 18, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217000034 | IL | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 217000034 | IL | Yes |
Addresses
Primary practice location
24536 W Bluff Rd
Channahon, IL 60410-9636
Mailing address
2310 Claridge Dr
Joliet, IL 60431-7741
Phone (872) 230-1357
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All providers in Channahon, IL · Speech-Language Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2016. 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.