SUSAN MARY BICKLINE (NPI# 1659635688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659635688 |
| Entity Type | Individual |
| Full Name | SUSAN MARY BICKLINE |
| Credential | SLP |
| Practice Address |
9515 Holy Cross Ln Box 99 Breese IL 62230-3618 |
| Practice Telephone | 6185264511 |
| Practice Fax Number | 6185262855 |
| Mailing Telephone | 6185264511 |
| Mailing Fax Number | 6185262855 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146003579 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
9515 HOLY CROSS LN BOX 99 |
| City | BREESE |
| State | IL |
| Zip Code | 62230-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457319154 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | General Acute Care Hospital | 9515 Holy Cross Ln, Box 99, Breese, IL 62230-3618 | 2006-05-02 |
| 1013516897 | K and L Medical, LLC | Orthopaedic Surgery | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2020-10-22 |
| 1205469350 | St. Joseph's Hospital, Breese, of The Hospital Sisters of The Third Or | Clinic/Center | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2020-02-18 |
| 1548824592 | Dennis Joseph Riechman | Nurse Practitioner | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2019-04-25 |
| 1790349967 | Brandon Gebke | Nurse Anesthetist, Certified Registered | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2019-04-23 |
| 1447747316 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Medicare Defined Swing Bed Unit | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-04-17 |
| 1528560463 | Cep America Illinois Intensivists | Internal Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-03-07 |
| 1639678790 | Cep America-illinois Hospitalists, LLP | Internal Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-02-05 |
| 1437658622 | Cepamerica Illinois LLP | Emergency Medicine | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-02-02 |
| 1154845527 | Jeffrey Alan Wilhite | Specialist/Technologist | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2017-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
| 1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
| 1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
| 1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
| 1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
| Find all providers in zip 62230 | ||||
| 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 |
|---|---|---|---|---|
| 1023534872 | Monica J Koch | Speech-Language Pathologist | 777 Memorial Dr, Breese, IL 62230-1376 | 2017-08-14 |
| 1720505647 | Jennifer Jo Klostermann | Speech-Language Pathologist | 777 Memorial Dr, Breese, IL 62230-1376 | 2017-08-23 |
| 1124156716 | Maribeth Detmer | Speech-Language Pathologist | 1665 N 4th St, Breese, IL 62230-1791 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1194326363 | Cheryl Clemens | Speech-Language Pathologist | 105 Clubhouse Pl, Mount Carmel, IL 62863-2711 | 2020-11-04 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1942809231 | Progress To Success Speech Therapy Pllc | Speech-Language Pathologist | 4940 Wilderness Pt, Smithton, IL 62285-3664 | 2020-10-19 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1295332617 | Rachel Raffalo | Speech-Language Pathologist | 1050 S Euclid Ave, Elmhurst, IL 60126-5169 | 2020-10-08 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1255938908 | Norma Laura Gregorio-perez | Speech-Language Pathologist | 1601 E Main St # G, St Charles, IL 60174-2431 | 2020-10-06 |
| 1073110227 | Erin Koester | Speech-Language Pathologist | 633 County Highway 22, Cowden, IL 62422-4104 | 2020-10-01 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
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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.