MEDICARE: LAURIE KAUZLARIC MS CCC SLP,M.ED.SPED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	146010110	IL
2	222Q00000X	Developmental Therapist	796765	IL
3	235Z00000X	Speech-Language Pathologist	123320	TX
4	235Z00000X	Speech-Language Pathologist	34525	CA

General Provider Information

NPI Number	:	1316362429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE KAUZLARIC MS CCC SLP,M.ED.SPED

Provider Business Mailing Address
First Line	:	809 BARTON DR
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-7735
Country	:	US
Telephone Number	:	708-738-0852
Fax Number	:	815-723-2455

Provider Business Practice Location Address
First Line	:	809 BARTON DR
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-7735
Country	:	US
Telephone Number	:	708-738-0852
Fax Number	:	815-723-2455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2014
Last Update Date	:	06/09/2026

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