Mrs Kathleen Yezek Johnson, MS/CCC/SLP-L is a
Speech-language Pathologist based in Ringwood, Illinois. Mrs Kathleen Yezek Johnson is licensed to practice in Illinois (license number 146.004009) and her current practice location is
4700 School Rd, Ringwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 728-0459.
NPI number for Mrs Kathleen Yezek Johnson is 1083129613 and her current mailing address is 4700 School Rd, Ringwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083129613.
Healthcare Provider's Profile
Full Name | Mrs Kathleen Yezek Johnson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 4700 School Rd, Ringwood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083129613
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 12/05/2017
Medical Identifiers
Medical identifiers for Mrs Kathleen Yezek Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083129613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146.004009 (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 Kathleen Yezek Johnson 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 Address | Practice Location Address |
Mrs Kathleen Yezek Johnson, MS/CCC/SLP-L 4700 School Rd, Ringwood, IL 60072-9606 Ph: (815) 728-0459 | Mrs Kathleen Yezek Johnson, MS/CCC/SLP-L 4700 School Rd, Ringwood, IL 60072-9606 Ph: (815) 728-0459 |
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