Kelly Marie Rodriguez-Muller, SLP
Individual provider Active NPI Speech-Language Pathologist · Steger, IL
NPI 1720428212 · NPPES record last updated Jun 27, 2013
Key facts
- NPI
- 1720428212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22004871A (IN)
- Practice address
- 22765 Woodlawn Ave
Steger, IL 60475-6011 - Phone
- (708) 758-2129
- NPI assigned
- Jun 27, 2013
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004871A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004871A | IN | Yes |
Addresses
Primary practice location
22765 Woodlawn Ave
Steger, IL 60475-6011
Mailing address
22765 Woodlawn Ave
Steger, IL 60475-6011
Phone (708) 758-2129
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- Debra Petroni
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- Andrea M Sanchez-Castaneda
- Carolina Serrato
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- Ashley Smith
- Richard M Smith
All providers in Steger, 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 Jun 27, 2013. 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.