Active NPI
Kathleen Bartgen, M.S. CCC-SLP-L
- Speech-Language Pathologist
- Tinley Park, IL
National Provider Identifier
1609073089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.008953
- Practice address
- 17718 Clifton CT
Tinley Park, IL 60487-8495 - Phone
- (773) 255-1040
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.008953 | IL | Primary |
Addresses
Primary practice location
17718 Clifton CT
Tinley Park, IL 60487-8495
Mailing address
17718 Clifton CT
Tinley Park, IL 60487-8495
Phone (773) 255-1040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.008953 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1609073089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17718 CLIFTON CT",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604878495",
"telephone_number": "773-255-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17718 CLIFTON CT",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604878495",
"telephone_number": "773-255-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTGEN",
"first_name": "KATHLEEN",
"credential": "M.S. CCC-SLP-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.008953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.