MEDICARE: KAREN SHEEHAN, INC.

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

General Provider Information

NPI Number	:	1518092667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN SHEEHAN, INC.

Provider Business Mailing Address
First Line	:	10S510 HAVENS DR
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-5119
Country	:	US
Telephone Number	:	630-220-1690
Fax Number	:	630-910-6740

Provider Business Practice Location Address
First Line	:	10S510 HAVENS DR
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-5119
Country	:	US
Telephone Number	:	630-220-1690
Fax Number	:	630-910-6740

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	MRS. KAREN SHEEHAN
Credential	:	CCCSLP
Telephone Number	:	630-220-1690

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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