Stephanie Gannon
NPI 1104179134ActiveIndividual· Speech-Language Pathologist· Lake Forest, IL
Speech-Language Pathologist in Lake Forest, Illinois, licensed in IL, with an NPI issued in October 2012.
Overview
| NPI | 1104179134 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 15, 2012 |
| Last updated in NPPES | Feb 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 242.002184 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other speech-language pathologists in Lake Forest
- 1841557162
- 1992381800
- 1760270029
- 1437274818
- 1124216668
- 1386220622
- 1497281711
- 1215084314
- 1336845288
- 1265746705
- 1063127363
- 1225562341
All 35 speech-language pathologists in Lake Forest · All speech-language pathologists in Illinois