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Functional Speech Therapy Co.

NPI 1811582430ActiveOrganization· Speech-Language Pathologist· Mundelein, IL

Speech-Language Pathologist in Mundelein, Illinois, registered in NPPES in March 2021. The authorized official on file is Mariana Polistchuk, M.S. CCC-SLP, Speech Therapy.

Overview

NPI1811582430
StatusActive
Entity typeOrganization
NPI issuedMar 5, 2021
Last updated in NPPESMar 5, 2021
Certified by providerMar 5, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other speech-language pathologists in Mundelein

All 17 speech-language pathologists in Mundelein · All speech-language pathologists in Illinois