Nancy J. Daoust
Individual provider Active NPI Speech-Language Pathologist · Channahon, IL
NPI 1780197483 · NPPES record last updated Nov 16, 2017
Key facts
- NPI
- 1780197483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1406001181 (IL)
- Practice address
- 22455 S Lakepoint CT
Channahon, IL 60410-3375 - Phone
- (815) 467-7976
- NPI assigned
- Nov 16, 2017
- 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 |
|---|---|---|---|
| 1406001181 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1406001181 | IL | Yes |
Addresses
Primary practice location
22455 S Lakepoint CT
Channahon, IL 60410-3375
Mailing address
22455 S Lakepoint CT
Channahon, IL 60410-3375
Phone (815) 467-7976
Other providers in Channahon, IL
- Cornerstone Services Inc
- Cornerstone Services, Inc
- Melynda Rae Costa
- Lindsey Craven
- Kathryn Elena Croft
- Sherri M Davis
- Roberta Dearth
- Daniel James Debow
- Angela Decraene
- Colton Dolak
All providers in Channahon, 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 Nov 16, 2017. 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.