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NPI Code Detail

MEDICARE: ALLISON SHEPARD KRUPA CCC-SLP

MEDICARE: ALLISON SHEPARD KRUPA CCC-SLP
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
1235Z00000XSpeech-Language Pathologist242.000686IL

General Provider Information

NPI Number : 1346499068
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON SHEPARD KRUPA CCC-SLP
Provider Business Mailing Address
First Line : 40W310 LAFOX RD UNIT A1
Second Line :
City : ST CHARLES
State : IL
Zip : 60175-6591
Country : US
Telephone Number : 630-444-0077
Fax Number :
Provider Business Practice Location Address
First Line : 40W310 LAFOX RD UNIT A1
Second Line :
City : ST CHARLES
State : IL
Zip : 60175-6591
Country : US
Telephone Number : 630-444-0077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2008
Last Update Date : 08/22/2017

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Directions to “ ALLISON SHEPARD KRUPA CCC-SLP” Practice Location

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