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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
242.001986ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillmann Pediatric Therapy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0009932954MedicaidIL

Other providers in La Salle, IL

All providers in La Salle, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.