Michelle Coughlin
Individual provider Active NPI Speech-Language Pathologist · Chillicothe, IL
NPI 1659945152 · NPPES record last updated May 18, 2021
Key facts
- NPI
- 1659945152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146015252 (IL)
- Practice address
- 509 Taylor Dr
Chillicothe, IL 61523-1371 - Phone
- (309) 634-5420
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146015252 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 146015252 | IL | Yes |
Addresses
Primary practice location
509 Taylor Dr
Chillicothe, IL 61523-1371
Mailing address
509 Taylor Dr
Chillicothe, IL 61523-1371
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All providers in Chillicothe, 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 May 18, 2021. 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.