MEDICARE: CAITLIN TEPE LANGTRY MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		IL

General Provider Information

NPI Number	:	1487096608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN TEPE LANGTRY MS

Provider Business Mailing Address
First Line	:	1742 N WINNEBAGO AVE APT D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5401
Country	:	US
Telephone Number	:	574-217-5625
Fax Number	:

Provider Business Practice Location Address
First Line	:	1742 N WINNEBAGO AVE APT D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5401
Country	:	US
Telephone Number	:	574-217-5625
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2013
Last Update Date	:	09/11/2025

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Directions to “ CAITLIN TEPE LANGTRY MS” Practice Location

Language	Start Address	Practice Location

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