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General NPI Number Information
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NPI Number | 1861779167
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Entity Type | Individual
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Provider Name | KATIE WILSON M.S. CCC-SLP/L
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Gender | Female
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 700 N MCLEAN BLVD
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-1442
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Country | US
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Telephone | 224-253-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 1399 MARLEIGH LN
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-3051
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Country | US
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Telephone | 309-532-4322
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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 | 146.009792
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License Number State | IL
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