Active NPI
Catherine B. Raack, M.S.
- Speech-Language Pathologist
- St Charles, IL
National Provider Identifier
1891835948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-000585
- Practice address
- 40W310 Lafox Rd
Suite 1 a-B
St Charles, IL 60175-6591 - Phone
- (630) 444-0077
- Fax
- (630) 444-0078
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146-000585 | IL | Primary |
Addresses
Primary practice location
40W310 Lafox Rd
Suite 1 a-B
St Charles, IL 60175-6591
Mailing address
47W725 Beith Road
Maple Park, IL 60151-8805
Phone (630) 365-6607
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-000585 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1891835948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47W725 BEITH ROAD",
"city": "MAPLE PARK",
"state": "IL",
"postal_code": "601518805",
"telephone_number": "630-365-6607",
"fax_number": "630-365-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40W310 LAFOX RD",
"address_2": "SUITE 1 A-B",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601756591",
"telephone_number": "630-444-0077",
"fax_number": "630-444-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAACK",
"first_name": "CATHERINE",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146-000585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.