Individual provider Active NPI

Kathryn Cerneka, SPEECH LANGUAGE PATH

  • Speech-Language Pathologist
  • Oswego, IL
National Provider Identifier
1780702597
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242-000377 Issued in IL
Practice address
4641 McLaren Dr
Oswego, IL 60543-8157
Phone
(618) 334-0766
Fax
(855) 765-7549
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242-000377 IL Primary

Addresses

Primary practice location

4641 McLaren Dr
Oswego, IL 60543-8157

Mailing address

4641 McLaren Dr
Oswego, IL 60543-8157
Phone (618) 334-0766

Other names 1

  • Kathryn Cerneka Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
242-000377ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Outcomes Inc. Speech-Language Pathologist PastSince Jan 26, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1780702597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 MCLAREN DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438157",
            "telephone_number": "618-334-0766",
            "fax_number": "855-765-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 MCLAREN DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438157",
            "telephone_number": "618-334-0766",
            "fax_number": "855-765-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNEKA",
        "first_name": "KATHRYN",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242-000377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CERNEKA",
            "credential": "SPEECH LANGUAGE PATH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.