Jaclyn Suveg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.013841 Issued in IL

Practice address

Prairie Path Speech Therapy, Inc
1114 East Gartner
Naperville, IL 60540

Phone

(630) 453-7666

Fax

(630) 453-7666

NPI assigned

Sep 14, 2016

Last updated

Nov 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prairie Path Speech Therapy

  • Speech-Language Pathologist
  • Naperville, IL
  • NPI 1710542527
  NPD Authorized official
• Prairie Path Speech Therapy, Inc

  • Speech-Language Pathologist
  • Naperville, IL
  • NPI 1265059356
  NPD Authorized official

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1588112940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 E GARTNER",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407726",
            "telephone_number": "630-453-7666",
            "fax_number": "630-566-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRAIRIE PATH SPEECH THERAPY, INC",
            "address_2": "1114 EAST GARTNER",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-453-7666",
            "fax_number": "630-453-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUVEG",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.004222",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18244",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "5364",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Olin Sutherland, LMFT
• Gina Sutter, M.A.
• Christine Margaret Sutton, PA-C
• Claire N Sutton, MD
• David A Sutton, P.A. - C
• Nathan Svingen, MD
• Amy Svoboda, LCSW
• Anastasia Charity Swain, LMT
• Valerie L Swan, DDS
• Tamara Swann-Zemanova

• Speech-Language Pathologist in Naperville, IL
• Providers in Naperville, 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 Nov 17, 2023; 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.