Susan May

Individual provider Active NPI Speech-Language Pathologist · La Salle, IL

NPI 1972018794 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1972018794
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146.003566 (IL)
Practice address
297 N 33Rd Rd
La Salle, IL 61301-9728
Phone
(815) 223-2933
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
146.003566ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Park C C School Dist 82 Past Accepting new patients
Dimmick CC School Dist 175 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 146.003566 IL Yes

Addresses

Primary practice location

297 N 33Rd Rd
La Salle, IL 61301-9728

Mailing address

933 26TH St
Peru, IL 61354-1409

Other practice location 1

326 S 5th St
Hennepin, IL 61327-5168
Phone (815) 882-2800 ext. 2

Other practice location 2

2350 E 1025th Rd
Ottawa, IL 61350-9253
Phone (815) 434-6930

Other providers in La Salle, IL

All providers in La Salle, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.