Patricia Ann Lietzow
Individual provider Active NPI Speech-Language Pathologist · Posen, IL
NPI 1730050600 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1730050600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1547614 (IN)
- Practice address
- 14011 S Harrison Ave
Posen, IL 60469-1025 - Phone
- (708) 772-0425
- Fax
- (708) 388-3868
- NPI assigned
- Sep 15, 2025
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1386745 | FL | MD | Speech-Language Pathologist |
| 1547614 | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Posen-Robbins El SCH Dist 1435 | Current |
Accepting new patients |
Locations
14011 S Harrison Ave
Posen, IL 60469
Phone (708) 388-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1386745 | FL | |
| Speech-Language Pathologist | 235Z00000X | 1547614 | IN | Yes |
Addresses
Primary practice location
14011 S Harrison Ave
Posen, IL 60469-1025
Mailing address
14011 S Harrison Ave
Posen, IL 60469-1025
Phone (708) 772-0425
Other names
- Patricia King
Other providers in Posen, IL
- Danielle Nicole Gilmore
- Zoila Gutierrez
- Heal-Thy People Family Care Center LTD
- Heal-Thy People Ministries Inc.
- Komprehensive Primary Care Sports & Musculoskeletal Medicine S.C.
- Latanya Morris
- N J Amin
- Posen-Robbins El SCH Dist 1435
- Teanna Shambrae Ramirez
- Linda Jean Reisener
All providers in Posen, 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 Sep 15, 2025. 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.