Laura Kavanaugh, | |
407 W 63rd St, Westmont, IL 60559-2910 | |
(877) 407-3422 | |
(877) 407-4329 |
Full Name | Laura Kavanaugh |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 407 W 63rd St, Westmont, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114525623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 146007472 (Illinois) | Primary |
Provider Name | Fox Rehabilitation Services Il Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124 |
Mailing Address | Practice Location Address |
---|---|
Laura Kavanaugh, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Laura Kavanaugh, 407 W 63rd St, Westmont, IL 60559-2910 Ph: (877) 407-3422 |
Alise Farano, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 S Grant St, Westmont, IL 60559 Phone: 630-468-8015 | |
Madalyn Theama, MS Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 407 W 63rd St, Westmont, IL 60559 Phone: 877-407-3422 | |
Jenna Karen Pryor, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4101 Liberty Blvd Apt 1, Westmont, IL 60559 Phone: 938-663-0426 | |
Rachel Villafuerte, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 407 W 63rd St, Westmont, IL 60559 Phone: 877-407-3422 | |
Patricia Ellen Johnson, M.S. CCC-SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 750 Pasquinelli Dr Ste 204, Westmont, IL 60559 Phone: 630-560-0136 | |
Brooke Marshall, MA., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 750 Pasquinelli Dr Ste 204, Westmont, IL 60559 Phone: 630-560-0136 |