| Northern Illinois University | |
| 
					3100 Sycamore Road, Niu Speech Language Hearing Clinic, Dekalb, IL 60115-2899  | |
| (815) 753-1483 | |
| (815) 753-1664 | 
| Full Name | Northern Illinois University | 
|---|---|
| Type | Facility | 
| Speciality | Speech-language Pathologist | 
| Location | 3100 Sycamore Road, Dekalb, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205061769 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Northern Illinois University 3100 Sycamore Road, Niu Speech Language Hearing Clinic, Dekalb, IL 60115-2899 Ph: (815) 753-1481  | Northern Illinois University 3100 Sycamore Road, Niu Speech Language Hearing Clinic, Dekalb, IL 60115-2899 Ph: (815) 753-1483  | 
Brittany Sue Warner,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1212 S 2nd St, Dekalb, IL 60115 Phone: 815-758-8151  | |
Mrs. Michelle Lynn Burton, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521  | |
Susan Allyson Trede, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Lucinda Avenue, Northern Illinois Univ.,speech-language Hearing Clinic, Dekalb, IL 60115 Phone: 815-753-1481 Fax: 815-753-1664  | |
Heidi Pittsley,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 213 Windsor Dr, Dekalb, IL 60115 Phone: 815-739-5144  | |
Judith Lutz,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3100 Sycamore Rd, Dekalb, IL 60115 Phone: 815-753-1481 Fax: 815-753-1664  | |
Mr. Brian Patrick Gavin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 573 Bush St, Dekalb, IL 60115 Phone: 630-291-6106  |