| Rebecca Marie Fraedrich, | |
|
225 Edward St, Sycamore, IL 60178-2137 | |
| (815) 895-2144 | |
| Not Available |
| Full Name | Rebecca Marie Fraedrich |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 225 Edward St, Sycamore, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699390559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242005876 (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | 146.015952 (Illinois) | Primary |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412 |
| Provider Name | Expressable Speech-language Pathology Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20220308002645 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Marie Fraedrich, 309 Hickory Dr, Genoa, IL 60135-1025 Ph: (815) 508-5181 | Rebecca Marie Fraedrich, 225 Edward St, Sycamore, IL 60178-2137 Ph: (815) 895-2144 |
Bonnie Stewart-henson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 340 Chauncey St, Sycamore, IL 60178 Phone: 610-999-8081 | |
Miss Karen Joanne Geist, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 707 Bremner Dr, Sycamore, IL 60178 Phone: 773-213-7990 | |
Alphabet Avenue Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1225 E State St, Sycamore, IL 60178 Phone: 815-517-7653 | |
Brianna Jean Baltrusis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1018 Dekalb Ave, Sycamore, IL 60178 Phone: 208-416-1017 | |
Meghan Hawkins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 W Exchange St, Sycamore, IL 60178 Phone: 815-899-8100 | |
Ms. Mary Katherine Brennan, M.S., CCC-L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 245 W Exchange St, Suite #4, Sycamore, IL 60178 Phone: 815-895-9227 Fax: 815-895-2971 | |
Ross Christensen, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1611 Bayberry Ln, Sycamore, IL 60178 Phone: 815-757-6780 |