Joscelyn Catrine Pohar
Individual provider Active NPI Speech-Language Pathologist · La Salle, IL
NPI 1649545815 · NPPES record last updated Mar 20, 2012
Key facts
- NPI
- 1649545815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242.001986 (IL)
- Practice address
- 941 6TH St
La Salle, IL 61301-2205 - Phone
- (815) 224-3261
- Fax
- (815) 224-4512
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 242.001986 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillmann Pediatric Therapy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.001986 | IL | Yes |
Addresses
Primary practice location
941 6TH St
La Salle, IL 61301-2205
Mailing address
246 Sunset Blvd
Oglesby, IL 61348-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009932954 | Medicaid | IL |
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All providers in La Salle, 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 Mar 20, 2012. 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.