Individual provider Active NPI

Gyuchan H. Steele, MS/CCC-SLP/L

  • Speech-Language Pathologist
  • Knoxville, IL
National Provider Identifier
1679618102
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.005621 Issued in IL
Practice address
704 Meyer CT
Knoxville, IL 61448-9302
Phone
(309) 337-4666
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.005621 IL Primary

Addresses

Primary practice location

704 Meyer CT
Knoxville, IL 61448-9302

Mailing address

704 Meyer CT
Knoxville, IL 61448-9302

Other practice location 1

801 SW 9th St
Aledo, IL 61231-2316
Phone (309) 582-5350

Other practice location 2

784 Walnut St
Knoxville, IL 61448-1530
Phone (309) 337-4666

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

LicenseStateTypeSpecialty
146.005621ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gyuchan H. Steele Speech-Language Pathologist Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679618102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MEYER CT",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "614489302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MEYER CT",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "614489302",
            "telephone_number": "309-337-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Aledo",
            "state": "IL",
            "postal_code": "612312316",
            "country_code": "US",
            "telephone_number": "309-582-5350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "784 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "IL",
            "postal_code": "614481530",
            "country_code": "US",
            "telephone_number": "309-337-4666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEELE",
        "first_name": "GYUCHAN",
        "middle_name": "H.",
        "credential": "MS/CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.005621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.