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NPI 1710047964ActiveOrganization· Speech-Language Pathologist· Lake Villa, IL
Speech-Language Pathologist in Lake Villa, Illinois, registered in NPPES in December 2006. The authorized official on file is Karin Richter, Office Manager.
Overview
| NPI | 1710047964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2006 |
| Last updated in NPPES | Sep 13, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 146005107 | IL |
| Counselor, Mental Health | 101YM0800X | 178003554 | IL |
| Counselor, Mental Health | 101YM0800X | 180004644 | IL |
| Specialist | 174400000X | 056006553 | IL |
| Specialist | 174400000X | 056005900 | IL |
| Specialist | 174400000X | 056007775 | IL |
| Specialist | 174400000X | 070002049 | IL |
| Specialist | 174400000X | 070010601 | IL |
| Specialist | 174400000X | 070014701 | IL |
| Speech-Language Pathologist | 235Z00000X | 242000307 | 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 |
|---|
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All 20 speech-language pathologists in Lake Villa · All speech-language pathologists in Illinois