Lauren Mary Alsot, MHS

Individual provider Active NPI Speech-Language Pathologist · McHenry, IL

NPI 1780192864 · NPPES record last updated Jan 11, 2018

Key facts

NPI
1780192864
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
140.005547 (IL)
Practice address
701 N Green St
McHenry, IL 60050-5517
Phone
(815) 385-3123
Fax
(815) 363-5025
NPI assigned
Jan 11, 2018
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

LicenseStateTypeSpecialty
140.005547ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 140.005547 IL Yes

Addresses

Primary practice location

701 N Green St
McHenry, IL 60050-5517

Mailing address

1011 N Green St
McHenry, IL 60050-5720
Phone (815) 385-7210

Other providers in McHenry, IL

All providers in McHenry, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.