Victoria Lynn Pattillo, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Saint Elmo, IL
NPI 1720146723 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720146723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- RR 2 Box 251D
Saint Elmo, IL 62458-9586 - Phone
- (618) 829-9121
- Fax
- (618) 829-9121
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146004811 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meraki Therapies Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
RR 2 Box 251D
Saint Elmo, IL 62458-9586
Mailing address
PO Box 21
Saint Elmo, IL 62458-0021
Phone (618) 829-9121
Other providers in Saint Elmo, IL
- Friendship Manor of St Elmo Inc
- Haven of St Elmo, LLC
- Barbara Gayle Kilzer
- Lindsay Jo Lash
- Meraki Therapies Inc.
- Ruralmed EMS NFP
- Latosha Nichole Schroeder
- Hasin Shah
- St Elmo Community Unit School District
- Jo Sue Stine
All providers in Saint Elmo, 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 Jul 8, 2007. 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.