Christopher Durr

Individual provider Active NPI Speech-Language Pathologist · Sherman, IL

NPI 1609623669 · NPPES record last updated May 6, 2024

Key facts

NPI
1609623669
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242.007662 (IL)
Practice address
100 Marian Pkwy
Sherman, IL 62684-9673
Phone
(217) 617-4832
NPI assigned
May 6, 2024
Sex
Male
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

LicenseStateTypeSpecialty
242.007662ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242.007662 IL Yes

Addresses

Primary practice location

100 Marian Pkwy
Sherman, IL 62684-9673

Mailing address

508 Silver Spring Dr
Springfield, IL 62702-3386

Other providers in Sherman, IL

All providers in Sherman, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.