MEDICARE: ANNA GEBARDT MS, 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1861999575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA GEBARDT MS, CCC-SLP

Provider Business Mailing Address
First Line	:	830 S ADDISON AVE
Second Line	:
City	:	VILLA PARK
State	:	IL
Zip	:	60181
Country	:	US
Telephone Number	:	630-620-4433
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 S ARLINGTON HEIGHTS RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4105
Country	:	US
Telephone Number	:	847-593-4300
Fax Number	:

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

Provider Enumeration Date	:	04/09/2018
Last Update Date	:	01/23/2023

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Directions to “ ANNA GEBARDT MS, CCC-SLP” Practice Location

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