| Renee Elizabeth Landin, MA CCC-SLP | |
|
4450 N Prospect Rd Ste C5, Peoria Heights, IL 61616-6578 | |
| (309) 363-7594 | |
| (309) 966-3621 |
| Full Name | Renee Elizabeth Landin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4450 N Prospect Rd Ste C5, Peoria Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801588611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.017539 (Illinois) | Primary |
| Provider Name | Summit Speech Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902488018 PECOS PAC ID: 9739566027 Enrollment ID: O20220505002178 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Elizabeth Landin, MA CCC-SLP 5601 Brookmere St, Edwards, IL 61528-9408 Ph: (309) 363-7594 | Renee Elizabeth Landin, MA CCC-SLP 4450 N Prospect Rd Ste C5, Peoria Heights, IL 61616-6578 Ph: (309) 363-7594 |
Mrs. Olivia M Brinkman, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4450 N Prospect Rd Ste C5, Peoria Heights, IL 61616 Phone: 309-363-7594 Fax: 309-966-3621 | |
Carly Ann Cheatham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4450 N Prospect Rd Ste C5, Peoria Heights, IL 61616 Phone: 309-363-7594 Fax: 309-966-3621 | |
Ms. Tracie Lynn Johnson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5533 N Galena Rd, Peoria Heights, IL 61616 Phone: 309-682-5428 | |
Amanda J Mackenzie, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1501 E Gardner Ln Apt 1515, Peoria Heights, IL 61616 Phone: 309-251-0952 | |
Mrs. Kelly Jo Paulsen, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 911 E Euclid Ave, Peoria Heights, IL 61616 Phone: 309-682-8815 | |
Megan Nordstrom, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4450 N Prospect Rd Ste C5, Peoria Heights, IL 61616 Phone: 309-363-7594 Fax: 309-966-3621 |