Healthcare Provider Details

I. General information

NPI: 1952219958
Provider Name (Legal Business Name): CATHERINE L THIRY MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N GREENLEAF ST
GURNEE IL
60031-3326
US

IV. Provider business mailing address

28629 SANDPIPER TRL
WATERFORD WI
53185-1767
US

V. Phone/Fax

Practice location:
  • Phone: 847-604-0955
  • Fax:
Mailing address:
  • Phone: 414-801-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.029428
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: