Healthcare Provider Details

I. General information

NPI: 1508335241
Provider Name (Legal Business Name): ALEXA KARBIN CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2018
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23774 N MUIRFIELD DR
KILDEER IL
60047-1253
US

IV. Provider business mailing address

23774 N MUIRFIELD DR
KILDEER IL
60047-1253
US

V. Phone/Fax

Practice location:
  • Phone: 224-456-5300
  • Fax:
Mailing address:
  • Phone: 224-456-5300
  • Fax: 224-420-7652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number137793
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146016502
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: