Mrs Gwen Diane Stevens, SPEECH PATHOLOGIST - Speech-Language Pathologist in East Galesburg, IL

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Mrs Gwen Diane Stevens, SPEECH PATHOLOGIST is a Speech-language Pathologist based in East Galesburg, Illinois. Mrs Gwen Diane Stevens is licensed to practice in Illinois (license number 146-002978) and her current practice location is 526 Goodsill Dr, East Galesburg, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 341-1650.

NPI number for Mrs Gwen Diane Stevens is 1063743672 and her current mailing address is 526 Goodsill Dr, East Galesburg, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063743672.

Contact Information

Mrs Gwen Diane Stevens, SPEECH PATHOLOGIST
526 Goodsill Dr,
East Galesburg, IL 61430-9731
(309) 341-1650
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Gwen Diane Stevens
GenderFemale
SpecialitySpeech-language Pathologist
Location526 Goodsill Dr, East Galesburg, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063743672
  • Provider Enumeration Date: 01/21/2010
  • Last Update Date: 01/21/2010

Medical Identifiers

Medical identifiers for Mrs Gwen Diane Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063743672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 146-002978 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Gwen Diane Stevens is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Gwen Diane Stevens, SPEECH PATHOLOGIST
526 Goodsill Dr,
East Galesburg, IL 61430-9731

Ph: (309) 341-1650		Mrs Gwen Diane Stevens, SPEECH PATHOLOGIST
526 Goodsill Dr,
East Galesburg, IL 61430-9731

Ph: (309) 341-1650

Reviews and Comments


Speech-Language Pathologist in East Galesburg, IL


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