ILLINOIS WISCONSIN SERTOMA REGIONAL CENTER FOR COMMUNICATIVE DISORDERS (NPI# 1912072729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912072729 |
| Entity Type | Organization |
| Organization Name | ILLINOIS WISCONSIN SERTOMA REGIONAL CENTER FOR COMMUNICATIVE DISORDERS |
| Other Organization Name | SERTOMA SPEECH AND HEARING CENTER |
| Practice Address |
10409 South Roberts Road Palos Hills IL 60465 |
| Practice Telephone | 7085999500 |
| Practice Fax Number | 7085992791 |
| Mailing Telephone | 7085999500 |
| Mailing Fax Number | 7085992791 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DR. MICHELLE KALEEN MORRISON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7085999500 |
| Authorized Official Credential | ED.D. CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 146002791 | IL | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 344622092001 | 05 |
| Other Name | Type Code |
|---|---|
| Sertoma Speech and Hearing Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1219 W Lakeview Ct, Romeoville, IL 604466501 | 6306335060 | 6306335064 |
| 16151 Weber Rd Ste 101, Crest Hill, IL 604030864 | 6306335060 | 6306335064 |
| Street Address |
10409 SOUTH ROBERTS ROAD |
| City | PALOS HILLS |
| State | IL |
| Zip Code | 60465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497152201 | Nada Abderrhaman | Speech-Language Pathologist | 10409 South Roberts Road, Palos Hills, IL 60465 | 2014-11-21 |
| 1528311883 | Geri F Howard | Speech-Language Pathologist | 10409 South Roberts Road, Palos Hills, IL 60465 | 2012-10-23 |
| 1548574171 | Irina A Dvorak | Speech-Language Pathologist | 10409 South Roberts Road, Palos Hills, IL 60465 | 2010-08-06 |
| 1770741639 | Christina Ryan Woodall | Audiologist | 10409 South Roberts Road, Palos Hills, IL 60465 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306368774 | Cuttings Edge Medical Transit, Inc. | Non-emergency Medical Transport (VAN) | 10612 S Roberts Rd, Suite 10, Palos Hills, IL 60465 | 2017-07-07 |
| 1447781653 | Zain Rehman | Registered Nurse | 10571 Palos Pl, Unit A, Palos Hills, IL 60465 | 2017-03-21 |
| 1770956476 | Judita Slusnys | Nurse Practitioner | 11051 S. 84th Ave, Palos Hills, IL 60465 | 2015-11-04 |
| 1154755098 | Catherine D Moore | Counselor | 9962 Hill Terrence Building 23 Apt 212, Palos Hill, IL 60465 | 2013-08-28 |
| 1770866964 | Dominika Sekulska | Counselor | 10537 South Roberts Road, Palos Hills, IL 60465 | 2011-09-23 |
| 1851686950 | Metropolitan Family Services | Community Based Residential Treatment Facility, Mental Illness | 10537 Roberts Road, Palos Hill, IL 60465 | 2011-06-16 |
| 1205129764 | Zbigniev Durlak | Preventive Medicine | 9930 Stratford L, Palos Hills, IL 60465 | 2011-05-17 |
| 1962562322 | James D Michalarias | Dentist | 9900 S Roberts Rd, Palos Hills, IL 60465 | 2006-12-08 |
| 1831201235 | William George Revethis | Internal Medicine | 10400 Roberts Rd, Suite B, Palos Hills, IL 60465 | 2006-08-31 |
| 1891727095 | Global Home Health Care,inc | Home Health | 9848 So. Roberts Road, Palos Hills, IL 60465 | 2006-07-07 |
| Find all providers in zip 60465 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306222765 | Sean P Flowers | Audiologist | 10409 S Roberts Rd, Palos Hills, IL 60465-1931 | 2015-08-07 |
| 1457623449 | Jaclyn Michelle Riel | Audiologist | 10409 S Roberts Rd, Palos Hills, IL 60465-1931 | 2012-02-06 |
| 1770741639 | Christina Ryan Woodall | Audiologist | 10409 South Roberts Road, Palos Hills, IL 60465 | 2008-05-28 |
| 1184757379 | Dawn M Ruley | Audiologist | 10409 S Roberts Rd, Palos Hills, IL 60465-1931 | 2007-03-14 |
| 1508999707 | David John Rompala | Audiologist | 10409 S Roberts Rd, Palos Hills, IL 60465-1931 | 2007-03-14 |
| 1073629481 | Nicole Noelle Kreps | Audiologist | 10409 S Roberts Rd, Suite 306, Palos Hills, IL 60465-1931 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585724 | Leeann Cropsey | Audiologist | 1710 N Randall Rd Ste 210, Elgin, IL 60123-7904 | 2020-10-12 |
| 1720605298 | Lauren Wingard | Audiologist | 404 N Galena Ave Ste 120, Dixon, IL 61021-2179 | 2020-07-01 |
| 1265058135 | Jennifer Hwang | Audiologist | 750 Fletcher Dr Ste 100, Elgin, IL 60123-4703 | 2020-06-17 |
| 1831718618 | Naperville Hearing Services Pllc | Audiologist | 10 Martin Ave Ste 260, Naperville, IL 60540-6547 | 2020-04-13 |
| 1548890098 | Rachel Sarai Barr | Audiologist | 4440 W 95th St Rm 1339h, Oak Lawn, IL 60453-2600 | 2020-01-23 |
| 1730719337 | Juan Elias Vasquez | Audiologist | 920 W Cullom Ave Ph Unit, Chicago, IL 60613-1632 | 2020-01-22 |
| 1144866351 | Jamie Herskovitz | Audiologist | 5758 S Maryland Ave Rm 4754, Chicago, IL 60637-1426 | 2019-11-22 |
| 1437794005 | Maureen Louise Virts | Audiologist | 5857 S Maryland Ave, Chicago, IL 60637-1463 | 2019-11-07 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1144864042 | Jacqueline Rose Kjolhede | Audiologist | 800 Biesterfield Rd Ste 401, Elk Grove Village, IL 60007-3378 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HILLS |
| Zip Code | 60465 |
Please comment or provide details below to improve the information on ILLINOIS WISCONSIN SERTOMA REGIONAL CENTER FOR COMMUNICATIVE DISORDERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.