Sharon Irene Crull, M.S.
Individual provider Active NPI Speech-Language Pathologist · Lemont, IL
NPI 1922423946 · NPPES record last updated Feb 27, 2014
Key facts
- NPI
- 1922423946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146000931 (IL)
- Practice address
- 22 Keepataw CT
Lemont, IL 60439-4339 - Phone
- (630) 257-2297
- NPI assigned
- Feb 27, 2014
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146000931 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146000931 | IL | Yes |
Addresses
Primary practice location
22 Keepataw CT
Lemont, IL 60439-4339
Mailing address
22 Keepataw CT
Lemont, IL 60439-4339
Phone (630) 257-2297
Other providers in Lemont, IL
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- Reem Kurdi Cutinello
- Magdalena A Czerniak
- Ron Joseph Czub
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- Stephanie Dangelo
All providers in Lemont, 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 Feb 27, 2014. 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.