Anne K. Bludgen Speech Pathologist
Organization Active NPI Early Intervention Provider Agency · Midlothian, IL
NPI 1962658484 · NPPES record last updated Aug 15, 2008
Key facts
- NPI
- 1962658484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 146.005469 (IL)
- Legal business name
- ANNE K. BLUDGEN SPEECH PATHOLOGIST
- Practice address
- 14425 Kildare Ave
Midlothian, IL 60445-2649 - Phone
- (708) 597-5459
- Fax
- (708) 597-5422
- NPI assigned
- Aug 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Anne Kathryn Bludgen, MHS CCC SLP/L
- Title
- Sole Proprietor
- Phone
- (708) 309-5459
Practitioners 6
-
Anne Kathryn Bludgen, MHS CCC SLP
-
Karen Kiffmeyer, M.S. CCC-SLP
-
Mary Leslie Levanovic, MS CCC SLP
-
Ellen Meyers-Hafner, MS CCC-SLP
-
Mandy Waddick, MS CCC SLP
-
Jacqueline J Weissmueller, MS CCC-SLP/L
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 146.005469 | IL | |
| Early Intervention Provider Agency | 252Y00000X | 146.005469 | IL | Yes |
Addresses
Primary practice location
14425 Kildare Ave
Midlothian, IL 60445-2649
Mailing address
14425 Kildare Ave
Midlothian, IL 60445-2649
Phone (708) 597-5459
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2008. 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.