Taylor Janisch, | |
175 Olde Half Day Rd Ste 140-14, Lincolnshire, IL 60069-3089 | |
(262) 914-3455 | |
Not Available |
Full Name | Taylor Janisch |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 175 Olde Half Day Rd Ste 140-14, Lincolnshire, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306430749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 146.016305 (Illinois) | Primary |
Provider Name | Amplifying Potential Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932811783 PECOS PAC ID: 6305294968 Enrollment ID: O20231121001986 |
Mailing Address | Practice Location Address |
---|---|
Taylor Janisch, 695 Beechwood Dr, Lake Zurich, IL 60047-2801 Ph: (262) 914-3455 | Taylor Janisch, 175 Olde Half Day Rd Ste 140-14, Lincolnshire, IL 60069-3089 Ph: (262) 914-3455 |
Grace Suh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Stevenson Dr, Lincolnshire, IL 60069 Phone: 847-415-4000 | |
Michelle Croak, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 Audubon Way, Lincolnshire, IL 60069 Phone: 847-865-8811 | |
Bethany Bowkett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 960 Audubon Way, Lincolnshire, IL 60069 Phone: 847-876-2336 | |
Ellen Sue Woodstein, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 Cornell Dr, Lincolnshire, IL 60069 Phone: 847-317-1050 Fax: 847-317-1050 | |
Katie Bennett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Stevenson Dr, Lincolnshire, IL 60069 Phone: 847-415-4806 | |
Ms. Jill M Reed, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 239 Olde Half Day Rd, Lincolnshire, IL 60069 Phone: 847-634-6463 |