Jaime Earing, CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Mundelein, IL
NPI 1902811458 · NPPES record last updated Jun 28, 2018
Key facts
- NPI
- 1902811458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146006835 (IL)
- Practice address
- 200 W Maple Ave
Mundelein, IL 60060 - Phone
- (847) 949-2720
- Fax
- (847) 566-0123
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 146006835 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146006835 | IL | Yes |
Addresses
Primary practice location
200 W Maple Ave
Mundelein, IL 60060
Mailing address
319 W Arden LN
Round Lake, IL 60073-5659
Phone (847) 902-1898
Other practice location 1
250 Center Dr
Suite 101A
Vernon Hills, IL 60061-1582
Phone (847) 816-7200
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All providers in Mundelein, 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 Jun 28, 2018. 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.