Kathleen E Blattner, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242000663 Issued in IL

Practice address

6186 River Bend Dr
Lisle, IL 60532-4531

Phone

(630) 800-8760

NPI assigned

Apr 9, 2008

Last updated

Feb 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen E Gano Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1821261074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6186 RIVER BEND DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324531",
            "telephone_number": "630-800-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6186 RIVER BEND DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324531",
            "telephone_number": "630-800-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTNER",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242000663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GANO",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suchitra Bhakta, MD
• Anna Liezl Biag, COTA/L
• BKD Personal Assistance Services LLC (Brookdale at Home Lisle)
• Leanna Blanchard, PT, DPT
• Loraine Blanco, DMD
• BLC-Devonshire of Lisle, LLC (Brookdale Lisle AL)
• Kaitlin Marie Block, LSW
• Boehm Dental Care
• Shannon Bohnert, MA, CCC-SLP
• Katherine Borchardt, PSY.D.

• Speech-Language Pathologist in Lisle, IL
• Providers in Lisle, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.