Active NPI
Kimberlee Ann Glander, M.S., CCC-SLP/L
- Speech-Language Pathologist
- Waukegan, IL
National Provider Identifier
1659706612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146007944
- Practice address
- 1615 Sunset Ave
Waukegan, IL 60087-3810 - Phone
- (847) 244-6700
- Fax
- (847) 596-2014
- NPI assigned
- Sep 10, 2013
- Last updated
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 146007944 | IL | Primary |
Addresses
Primary practice location
1615 Sunset Ave
Waukegan, IL 60087-3810
Mailing address
1615 Sunset Ave
Waukegan, IL 60087-3810
Phone (847) 244-6700
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 |
|---|---|---|---|
| 146007944 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1659706612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 SUNSET AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600873810",
"telephone_number": "847-244-6700",
"fax_number": "847-596-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 SUNSET AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600873810",
"telephone_number": "847-244-6700",
"fax_number": "847-596-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLANDER",
"first_name": "KIMBERLEE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "M.S., CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146007944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.