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Kimberly Joy Willard , MA, CCC-SLP, L

Speech-Language Pathologist β€’ Maywood, IL

Active NPI 1225248859 Individual Practitioner Female Practitioner
Practice location in NPPES

1219 S Roosevelt Road
Maywood, IL 601534046

Call 7085317950 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

1219 S Roosevelt Road

Maywood, IL 601534046

Telephone 7085317950
Organization at the Same NPPES Address or Phone
Empoweryou Speech & Language Therapy Facility NPI 1689450173

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

NPI first issued

2007

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 Maywood and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maywood

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 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

Self-certified to NPPES: 2023-07-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES None 146.008676

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.

3 listed
Karli Korsch , PTDPT

Physical Therapist

NPI 1952657090
Helen Murphy , MPT

Physical Therapist

NPI 1629191903

Master of Physical Therapy

Dr. Caitlin Wilson , DPT

Physical Therapist

NPI 1306193719

Doctor of Physical Therapy

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Business Mailing Address July 24, 2023

Registered at 6022 TROUT LN, SPRING HILL, TN 371744559 (Tel: 6303478181)

πŸ‘€
Provider Name / Credentials Updated July 24, 2023

Recorded as KIMBERLY WILLARD, M.A., CCC-SLP/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2023

Speech-Language Pathologist (license number reported to NPPES: None 146.008676)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 1219 S ROOSEVELT ROAD, MAYWOOD, IL 601534046 (Tel: 7085317950)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 480 74TH ST, UNIT 105, DOWNERS GROVE, IL 605165209 (Tel: 6305151357)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KIMBERLY BURDICK, M.A., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225248859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 24, 2023
Sole Proprietor: No

Mailing Address

6022 Trout Ln

Spring Hill, TN 371744559

Phone: 6303478181

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.