MEDICARE: LUDGINA DIEUJUSTE M.S. 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	146.014664	IL

General Provider Information

NPI Number	:	1982040556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUDGINA DIEUJUSTE M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	2809 CEDAR GROVE DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62221-7415
Country	:	US
Telephone Number	:	860-995-9836
Fax Number	:

Provider Business Practice Location Address
First Line	:	2809 CEDAR GROVE DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62221-7415
Country	:	US
Telephone Number	:	860-995-9836
Fax Number	:

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

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	08/23/2021

Similar Medicare Providers

1376540930 — MATTHEW DEAN HAGEMAN MD
Practice Location Address:

130 LINCOLN PLACE CT STE 130
BELLEVILLE, IL
62221-5884

Practice Phone: 618-257-1297
Practice Fax:

1053308015 — BREFELD PHYSICAL THERAPY SERVICES PC
Practice Location Address:

106 LINCOLN PLACE CT
BELLEVILLE, IL
62221-5884

Practice Phone: 618-236-7588
Practice Fax: 618-236-7589

1174505978 — DONALD DAVID ROSE MD
Practice Location Address:

521 LAKE CHRISTINE DR
BELLEVILLE, IL
62221-5101

Practice Phone: 618-277-9168
Practice Fax:

1508842352 — DR. DONALD G. ADAMS M.D.
Practice Location Address:

130 LINCOLN PLACE CT STE 130
BELLEVILLE, IL
62221-5884

Practice Phone: 618-257-1297
Practice Fax:

1801866462 — IRINA Y POLANSKY PA-C
Practice Location Address:

130 LINCOLN PLACE CT STE 130
BELLEVILLE, IL
62221-5884

Practice Phone: 618-257-1297
Practice Fax: 618-277-1190

1598736514 — SUSAN KELLER APN,
Practice Location Address:

130 LINCOLN PLACE CT
BELLEVILLE, IL
62221-5884

Practice Phone: 618-257-2029
Practice Fax:

Directions to “ LUDGINA DIEUJUSTE M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.