MEDICARE: BARBARA LINXWEILER MA, CCC-SLP/L

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	146.009280	IL

General Provider Information

NPI Number	:	1649412107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA LINXWEILER MA, CCC-SLP/L

Provider Business Mailing Address
First Line	:	4453 N SAINT LOUIS AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5423
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3541 N FREMONT ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1706
Country	:	US
Telephone Number	:	773-458-3692
Fax Number	:

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

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	08/17/2011

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Directions to “ BARBARA LINXWEILER MA, CCC-SLP/L” Practice Location

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