Jeanne Ann Unzicker
Individual provider Active NPI Speech-Language Pathologist · Casey, IL
NPI 1588239651 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1588239651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.000458 (IL)
- Practice address
- 301 E Monroe Ave
Casey, IL 62420-1768 - Phone
- (217) 932-3869
- NPI assigned
- May 21, 2021
- 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 |
|---|---|---|---|
| 146.000458 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.000458 | IL | Yes |
Addresses
Primary practice location
301 E Monroe Ave
Casey, IL 62420-1768
Mailing address
2332 E Hillcrest Rd
Casey, IL 62420-3204
Phone (217) 932-3869
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- Aaron Lee Thomas Stinson
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- Charles Wieland III
All providers in Casey, 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 May 21, 2021. 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.