ELEANORE SHARON CHAN (NPI# 1912482415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912482415 |
| Entity Type | Individual |
| Full Name | ELEANORE SHARON CHAN |
| Credential | CF-SLP |
| Practice Address |
136 S Dipper Ln Decatur IL 62522-1841 |
| Mailing Address |
2403 W Springfield Ave Apt T4 Champaign IL 61821-2858 |
| Practice Telephone | 2174287767 |
| Mailing Telephone | 3124511456 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 242.005156 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
136 S DIPPER LN |
| City | DECATUR |
| State | IL |
| Zip Code | 62522-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063459329 | Petersen Health & Wellness, LLC | Nursing Facility/Intermediate Care Facility | 136 S Dipper Ln, Decatur, IL 62522-1841 | 2006-06-02 |
| 1790318954 | Decatur Hco, LLC | Skilled Nursing Facility | 136 S Dipper Ln, Decatur, IL 62522-1841 | 2020-02-17 |
| 1073072609 | Jaycee Cabalatungan Cristales | Physical Therapist | 136 S Dipper Ln, Decatur, IL 62522-1841 | 2019-03-13 |
| 1700326717 | Jody Veale | Occupational Therapist | 136 S Dipper Ln, Decatur, IL 62522-1841 | 2017-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
| 1588808323 | Paul D. Potter, D.d.s., Ltd | Dentist | 280 West North St, Decatur, IL 62522 | 2009-04-23 |
| 1801059100 | Melissa Ann Burnett | Dentist | 301 W North Street, Decatur, IL 62522 | 2008-07-07 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| 1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
| 1740371905 | Randy Curtis Kneezel | Dentist | 334 W Main, Decatur, IL 62522 | 2006-09-27 |
| 1457373375 | Patricia Elaine Norton | Dentist | 1099 W Wood St, Suite E, Decatur, IL 62522 | 2006-07-24 |
| 1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
| 1417408386 | Heritage Behavioral Health Center | Community/Behavioral Health | 955 N Main St, Decatur, IL 62522 | 2016-10-17 |
| 1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
| Find all providers in zip 62522 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074577 | Amanda Peeler | Speech-Language Pathologist | 2176 Loring Ct, Decatur, GA 30032-5666 | 2020-02-05 |
| 1043855331 | Speak Wonders | Speech-Language Pathologist | 2639 Glenvalley Dr, Decatur, GA 30032-4224 | 2019-11-11 |
| 1841761319 | Carmen Mustelier | Speech-Language Pathologist | 1635 Heatherwood Dr, Decatur, GA 30033-1706 | 2018-12-10 |
| 1477030203 | Emily J Bowen | Speech-Language Pathologist | 1400 Church St Apt G, Decatur, GA 30030-1525 | 2018-07-24 |
| 1023595006 | Lisa Mary Presti | Speech-Language Pathologist | 501 Alden Dr, Decatur, GA 30030-3320 | 2018-07-23 |
| 1679064166 | Courtney Madison Floyd | Speech-Language Pathologist | 4153 Flat Shoals Pkwy # 300a, Decatur, GA 30034-4106 | 2018-05-21 |
| 1104321124 | Alexandra Pope | Speech-Language Pathologist | 262 Maxwell St, Decatur, GA 30030-4209 | 2018-03-30 |
| 1740796556 | Cheryl Lynn Remmert | Speech-Language Pathologist | 955 N Illinois St, Decatur, IL 62521-1427 | 2017-12-17 |
| 1346754553 | Tammye O'brien | Speech-Language Pathologist | 2724 Wesley Chapel Rd Unit 361511, Decatur, GA 30036-2357 | 2017-11-27 |
| 1366954026 | Jane Anne Innis | Speech-Language Pathologist | 1499 W Main St, Decatur, IL 62522-1909 | 2017-11-02 |
| Find all providers in DECATUR | ||||
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| 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.