| Sophia Kimberly Fanara, MS CCC-SLP | |
|
8201 E Riverside Blvd, Rockford, IL 61114-2300 | |
| (815) 971-7000 | |
| Not Available |
| Full Name | Sophia Kimberly Fanara |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 2 Years |
| Location | 8201 E Riverside Blvd, Rockford, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619780889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146018176 (Illinois) | Primary |
| Provider Name | Rockford Health Physicians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Provider Name | Mercy Health System Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Kimberly Fanara, MS CCC-SLP 149 Titleist Trl, Poplar Grove, IL 61065-7808 Ph: (815) 980-6216 | Sophia Kimberly Fanara, MS CCC-SLP 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7000 |
Kathleen A Franzen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4820 Carol Ct, Rockford, IL 61108 Phone: 815-229-2176 Fax: 815-921-0303 | |
Inna Natanova, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5222 Spring Creek Rd, Rockford, IL 61114 Phone: 224-619-5666 | |
Elizabeth Dorothy Young, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1750 Madron Rd, Rockford, IL 61107 Phone: 815-229-2492 | |
Lois Holmes Vatch, M.A./CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3470 N Alpine Rd, Rockford, IL 61114 Phone: 815-639-1015 | |
Bethany Halbrader, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-381-7721 | |
Mrs. Judith L Ruch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 650 N Main St, Rockford, IL 61103 Phone: 815-965-6745 Fax: 815-968-9563 | |
Ms. Patrina Celeste Minella, PEL ILLINOIS SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 7th St, Rockford, IL 61104 Phone: 815-966-3000 |