| Michael Gregory Congoran Jr, CCC-SLP/L | |
| 
					1031 5th Ave, Belvidere, IL 61008-5139  | |
| (815) 544-3124 | |
| Not Available | 
| Full Name | Michael Gregory Congoran Jr | 
|---|---|
| Gender | Male | 
| Speciality | Speech-language Pathologist | 
| Location | 1031 5th Ave, Belvidere, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487421392 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.013511 (Illinois) | Primary | 
| Provider Name | Rockford Health Physicians | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Gregory Congoran Jr, CCC-SLP/L 1031 5th Ave, Belvidere, IL 61008-5139 Ph: () -  | Michael Gregory Congoran Jr, CCC-SLP/L 1031 5th Ave, Belvidere, IL 61008-5139 Ph: (815) 544-3124  | 
Krista Schmalensee, M.S., CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1031 5th Ave, Belvidere, IL 61008 Phone: 815-547-6734  | |
Mrs. Darla Mae Kieser,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1031 5th Ave, Belvidere, IL 61008 Phone: 815-262-1559  | |
Lauren M Knodle, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 6th St, Belvidere, IL 61008 Phone: 815-547-3546  | |
Alejandra Raya,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1031 5th Ave, Belvidere, IL 61008 Phone: 815-544-3124  | |
Kayen Eudora Cheung,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1320 East Ave, Belvidere, IL 61008 Phone: 815-544-9851  | |
Megan Eileen Hartman,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9393 Beloit Rd, Belvidere, IL 61008 Phone: 815-547-4613  |