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General NPI Number Information
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NPI Number | 1013735463
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Entity Type | Organization
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Legal Business Name | ELEVATE SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 700 CLOVERLEAF DR
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City | MARENGO
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State | IL
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Zip | 60152-3377
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Country | US
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Telephone | 224-650-9822
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Fax |
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Provider Business Mailing Address
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Address Line | 11013 N WOODSTOCK ST PO BOX 52
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City | HUNTLEY
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State | IL
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Zip | 60142
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE LEMKE
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Credential | SLP, COM
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Telephone | 309-230-9658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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