MEDICARE: KATHERINE STAUB SLP

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	2040	NH

General Provider Information

NPI Number	:	1487229936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE STAUB SLP

Provider Business Mailing Address
First Line	:	526 S HUMPHREY AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60304-1713
Country	:	US
Telephone Number	:	404-788-9572
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 S HUMPHREY AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60304-1713
Country	:	US
Telephone Number	:	404-788-9572
Fax Number	:

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

Provider Enumeration Date	:	05/26/2021
Last Update Date	:	11/18/2025

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Directions to “ KATHERINE STAUB SLP” Practice Location

Language	Start Address	Practice Location

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