KIRSTEN DEACETIS


Address: 311 W Depot St, Suite F, Antioch, IL 60002-1500
Phone: 8478388085

KIRSTEN DEACETIS (NPI# 1407046527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407046527
Entity Type Individual
Full Name KIRSTEN DEACETIS
Credential MPH, CCC, SLP/L
Practice Address 311 W Depot St
Suite F
Antioch
IL 60002-1500
Mailing Address 266 Jasmine Cir
Lindenhurst
IL 60046-4946
Practice Telephone 8478388085
Enumeration Date 2007-07-25
Last Update Date 2007-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146007211 IL Speech, Language and Hearing Service Providers

Office Location

Street Address 311 W DEPOT ST
SUITE F
City ANTIOCH
State IL
Zip Code 60002-1500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346330842 Fresenius Medical Care of Illinois, LLC Clinic/Center 311 W Depot St, Antioch, IL 60002-1500 2006-10-13
1366071524 Emily Slominski Social Worker 311 W Depot St, Antioch, IL 60002-1500 2020-04-08
1215308457 Hope's Playground Pediatric Therapy, Inc. Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2015-10-14
1215306907 Kathrin Lukowicz Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2015-09-23
1205254117 Lindsey Yedinak Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2014-03-29
1154757961 Kelley Semens Occupational Therapist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2013-09-25
1801169800 Alexandra J Dollinger Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2012-02-22
1417246638 Nikole Losch Physical Therapist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2011-03-29
1114248036 Katelyn P Ciszon Speech-Language Pathologist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2010-06-15
1710203740 Gina Ann Haldeman Physical Therapist 311 W Depot St, Suite N, Antioch, IL 60002-1500 2010-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821620345 Kathleen Ann Bleyaert Technician 24238 W. Bayview Rd, Antioch, IL 60002 2020-02-12
1992354385 Pauravi Hefner Developmental Therapist 270 Hickory Lane, Antioch, IL 60002 2019-09-09
1689023558 Shannon Marie Herman Pharmacist 966 Route 59, Antioch, IL 60002 2016-06-10
1992151856 Suchitra Gosavi Physical Therapist 3703west Lake Ave, Suit 200, Glenview, IL 60002 2016-05-10
1336513357 Athletico Ltd Physical Therapist 1122 Main St., Antioch, IL 60002 2015-11-16
1811306335 Jennifer Fitzgerald Massage Therapist 673 Cameron Drive, Antioch, IL 60002 2014-08-08
1114262052 Michael W Silenzi Physical Therapist 543 Orchard Str, Antioch, IL 60002 2012-12-04
1659561678 Expert Home Medical Equipment LLC Durable Medical Equipment & Medical Supplies 40225 N Rt 83, Suite B, Antioch, IL 60002 2007-07-26
1821157769 Robert T Sven,dds,ltd Dentist 439 Lake Street, Antioch, IL 60002 2006-12-06
1447326004 Stanley Jerome Witkiewicz Dentist 715 N Main, Antioch, IL 60002 2006-11-27
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457967374 Eleanor Murphy Speech-Language Pathologist 433 E Depot St, Antioch, IL 60002-1532 2020-09-16
1285249615 Gail Lindstrom Speech-Language Pathologist 599 Collier Dr, Antioch, IL 60002-8913 2020-09-11
1346875283 Brittany Mcdonald Speech-Language Pathologist 889 Bell Rd, Antioch, TN 37013-3101 2020-03-11
1164053161 Melissa Rivera Speech-Language Pathologist 1207 Beverly St, Antioch, CA 94509-1831 2020-01-28
1356991905 Morgan Taylor Speech-Language Pathologist 12848 Old Hickory Blvd, Antioch, TN 37013-2407 2019-09-16
1386142263 Sarah Wooten Speech-Language Pathologist 4321 Wallaby Ct, Antioch, CA 94531-7797 2018-01-25
1811438625 Ebony S Johnson Speech-Language Pathologist 5693 Deer Valley Trl, Antioch, TN 37013-4261 2017-03-13
1053858167 Quilona Robertson Speech-Language Pathologist 3409 Daisy Trl, Antioch, TN 37013-2504 2017-01-26
1184179251 Amanda Hain Speech-Language Pathologist 141 Bridgewood Dr, Antioch, IL 60002-1707 2016-08-18
1053694281 Craig Steven Mcintire-mann Speech-Language Pathologist 4751 Dallas Ranch Rd, Antioch, CA 94531-8828 2011-09-23
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Competitor

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City ANTIOCH
Zip Code 60002

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Dataset Information

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.

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