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Active NPI 1417814633 Individual Practitioner Female Practitioner

Lisette Kmiec , CCC-SLP

Speech-Language Pathologist • Dekalb, IL

Professional Overview & Biography Verified Profile Summary

Lisette Kmiec, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Dekalb, IL. Practice services are available at 2600 N ANNIE GLIDDEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2600 N Annie Glidden Rd

Dekalb, IL 601151207

Telephone 8152170343
Fax 8152170455
Associated Practice Facility / Clinic
🏢 Dekalb County Government Facility NPI 1023011798

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dekalb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Dekalb, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 242.007942

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sydney Irvin , PTA

Physical Therapy Assistant

NPI 1053066290

Physical Therapist Assistant

Anna Larsen

Occupational Therapist

NPI 1225909021
Carrie Casper

Speech-Language Pathologist

NPI 1477283604
Maris Reid , SLP

Speech-Language Pathologist

NPI 1720695687

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2026

Registered at 2600 N ANNIE GLIDDEN RD, DEKALB, IL 601151207 (Tel: 8152170343)

📍
Updated Business Mailing Address January 08, 2026

Registered at 245 LAKESIDE CT APT 1026, ST CHARLES, IL 601747923 (Tel: 8152170343)

👤
Provider Name / Credentials Updated January 08, 2026

Recorded as LISETTE KMIEC, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2026

Speech-Language Pathologist (License #242.007942 in IL)

🟢
Initial NPI Registration & Enumeration January 08, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417814633
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2026
Last Update: January 08, 2026
Sole Proprietor: Yes

Mailing Address

245 Lakeside Ct Apt 1026

St Charles, IL 601747923

Phone: 8152170343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.