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General NPI Number Information
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NPI Number | 1083246763
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Entity Type | Individual
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Provider Name | MEGAN SLAVICK
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Gender | Female
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 9018 HERITAGE PKWY STE 600
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City | WOODRIDGE
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State | IL
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Zip | 60517-5139
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Country | US
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Telephone | 630-442-7662
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 E LINCOLN HWY
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City | NEW LENOX
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State | IL
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Zip | 60451-9533
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Country | US
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Telephone | 815-469-1500
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 146.015350
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License Number State | IL
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