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Deactivated NPI 1265951842 Deactivated / Inactive NPI Female Practitioner

Georgine Marie Mullen

Speech-Language Pathologist • Forest Park, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Georgine Mullen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2017
NPI Deactivation Date March 01, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Georgine Mullen was a registered Speech-Language Pathologist practicing in Forest Park, IL. Throughout an active medical career spanning 5 years, Georgine Mullen provided care at the practice location at 443 THOMAS AVE until profile deactivation on 2022-03-01.

Practice Location & Contact Primary Location

Practice Address

443 Thomas Ave

Forest Park, IL 601301709

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Forest Park, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Forest Park, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 01, 2022

Record deactivated on March 01, 2022

NPI Profile Active September 14, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2017

Registered at 443 THOMAS AVE, FOREST PARK, IL 601301709 (Tel: (708) 771-1690)

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Updated Business Mailing Address September 14, 2017

Registered at 443 THOMAS AVE, FOREST PARK, IL 601301709 (Tel: 7087711690)

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Provider Name / Credentials Updated September 14, 2017

Recorded as GEORGINE MULLEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2017

Speech-Language Pathologist

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Initial NPI Registration & Enumeration September 14, 2017

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: 1265951842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2017
Last Update: September 14, 2017
Deactivation Date: March 01, 2022

Mailing Address

443 Thomas Ave

Forest Park, IL 601301709

Phone: 7087711690

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

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