| 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 | Empowerme Wellness Kansas City LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gregory Congoran Jr, CCC-SLP/L 1031 5th Ave, Belvidere, IL 61008-5139 Ph: Not Available | 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 |
Linda Marie Tackes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8787 Beloit Rd, Belvidere, IL 61008 Phone: 815-547-4812 Fax: 815-914-3061 |