Jaclyn Ann Sullivan
NPI 1700432424ActiveIndividual· Speech-Language Pathologist· Palos Park, IL
Speech-Language Pathologist in Palos Park, Illinois, licensed in IL, with an NPI issued in August 2019. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1700432424 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 18, 2019 |
| Last updated in NPPES | Apr 24, 2024 |
| Certified by provider | Apr 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 146.011457 | IL |
| Hearing Instrument Specialist | 237700000X | 2676 | 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) | Enrolled Practitioner - Qualified Speech Language Pathologist (IL) |
|---|
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