Sue Ellen Burns, MA, SLP-CCC-L
Individual provider Active NPI Speech-Language Pathologist · Wheeling, IL
NPI 1598046641 · NPPES record last updated Sep 2, 2011
Key facts
- NPI
- 1598046641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146001560 (IL)
- Practice address
- 401 S. Milwaukee Ave
Suite 210
Wheeling, IL 60090-5072 - Phone
- (847) 353-8999
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146001560 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146001560 | IL | Yes |
Addresses
Primary practice location
401 S. Milwaukee Ave
Suite 210
Wheeling, IL 60090-5072
Mailing address
401 S. Milwaukee Ave
Suite 210
Wheeling, IL 60090-5072
Phone (847) 353-8999
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All providers in Wheeling, 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 Sep 2, 2011. 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.