MEDICARE: MS. LINDSAY ROURKE MEACHAM M.S. CCC-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	146011929	IL
2	235Z00000X	Speech-Language Pathologist	021495-1	NY

General Provider Information

NPI Number	:	1871864389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDSAY ROURKE MEACHAM M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1133 NORFOLK ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2812
Country	:	US
Telephone Number	:	607-345-2004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 NORFOLK ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2812
Country	:	US
Telephone Number	:	607-345-2004
Fax Number	:

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

Provider Enumeration Date	:	01/16/2012
Last Update Date	:	10/15/2024

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Directions to “ MS. LINDSAY ROURKE MEACHAM M.S. CCC-SLP” Practice Location

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