Healthcare Provider Details

I. General information

NPI: 1568375939
Provider Name (Legal Business Name): CHRISTINE CAITLIN MCCARNEY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 E 3RD ST
SANDWICH IL
60548-1678
US

IV. Provider business mailing address

2242 W MAIN ST #3A
ST. CHARLES IL
60175
US

V. Phone/Fax

Practice location:
  • Phone: 815-786-6316
  • Fax:
Mailing address:
  • Phone: 630-513-5012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242.018859
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: