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Stephanie Gannon

Speech-Language Pathologist β€’ Lake Forest, IL

Active NPI 1104179134 Individual Practitioner Female Practitioner
Practice location in NPPES

660 N Westmoreland Rd, 900 Building, Lower Level 70
Lake Forest, IL 600451659

Call 8475356870 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

660 N Westmoreland Rd
900 Building, Lower Level 70

Lake Forest, IL 600451659

Telephone 8475356870
Organization at the Same NPPES Address or Phone
Joseph P Imperato, M D, P C Facility NPI 1295700037

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lake Forest and Illinois

33 active clinicians are listed under Speech-Language Pathologist with a practice address in Lake Forest, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lake Forest

0% of these 33 clinicians have the CMS telehealth indicator.

0% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 242.002184

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Sushma Anand , DO

Obstetrics & Gynecology

NPI 1285950352

Doctor of Osteopathic Medicine (D.O.)

Rachel Buchek

Physician Assistant - Medical

NPI 1679956866
Melissa Demiglio , PA-C

Physician Assistant

NPI 1437685252

Physician Assistant (Certified)

NPI 1013108059

Doctor of Medicine (M.D.), Master of Business Administration, Master of Public Health

Eileen Dexheimer , PT

Physical Therapist

NPI 1720311509

Physical Therapist

Aristeidie Diveris

Anesthesiology

NPI 1013926112

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 13, 2017

Registered at 660 N WESTMORELAND RD, 900 BUILDING, LOWER LEVEL 70, LAKE FOREST, IL 600451659 (Tel: 8475356870)

πŸ“
Updated Business Mailing Address February 13, 2017

Registered at 660 N WESTMORELAND RD, 900 BUILDING, LOWER LEVEL 70, LAKE FOREST, IL 600451659

πŸ‘€
Provider Name / Credentials Updated February 13, 2017

Recorded as STEPHANIE GANNON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Speech-Language Pathologist (license number reported to NPPES: IL 242.002184)

βœ…
NPI Profile Active October 15, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 15, 2012

Registered at 660 N WESTMORELAND RD, LAKE FOREST, IL 600451659 (Tel: 8475358022)

πŸ“
Business Mailing Address (Initial Record) October 15, 2012

Registered at 8820 W 92ND ST, HICKORY HILLS, IL 604571665 (Tel: 7084155291)

πŸ‘€
Provider Name / Credentials (Initial Record) October 15, 2012

Recorded as STEPHANIE GANNON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2012

Speech-Language Pathologist (license number reported to NPPES: IL 242.002184)

🟒
Initial NPI Registration & Enumeration October 15, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104179134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2012
Last Update: February 13, 2017
Sole Proprietor: No

Mailing Address

660 N Westmoreland Rd, 900 Building, Lower Level 70

Lake Forest, IL 600451659

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.