| Miss Christie Lee Moran, MS, CCC/SLP | |
|
705 Tauber Rd, New Lenox, IL 60451-9585 | |
| (630) 887-6381 | |
| Not Available |
| Full Name | Miss Christie Lee Moran |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 705 Tauber Rd, New Lenox, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407138001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.007820 (Illinois) | Primary |
| Provider Name | Nisma Therapy Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316678097 PECOS PAC ID: 7719334374 Enrollment ID: O20231116002119 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Christie Lee Moran, MS, CCC/SLP 705 Tauber Rd, New Lenox, IL 60451-9585 Ph: (630) 887-6381 | Miss Christie Lee Moran, MS, CCC/SLP 705 Tauber Rd, New Lenox, IL 60451-9585 Ph: (630) 887-6381 |
Kylie Farison, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1621 Andrea Dr, New Lenox, IL 60451 Phone: 779-435-0724 | |
Mrs. Dawn R Rodriguez, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 346 Alana Dr, New Lenox, IL 60451 Phone: 815-462-0514 Fax: 815-462-3993 | |
Ms. Catherine Anne Luebbe, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 S Marley Rd, New Lenox, IL 60451 Phone: 815-462-4928 | |
Samantha R Formento, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1621 Andrea Dr, New Lenox, IL 60451 Phone: 779-435-0724 | |
Advantage Speech Therapy Solutions, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 O Connell Cir, New Lenox, IL 60451 Phone: 708-829-3434 | |
Jodi Andrea Frigo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21701 Gougar Rd, New Lenox, IL 60451 Phone: 815-717-3706 | |
Sean Marino, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2125 Water Chase Dr, New Lenox, IL 60451 Phone: 708-415-8275 |