Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790427805 Individual Practitioner Male Practitioner

Roger Garren Craddock , CCC-SLP

Speech-Language Pathologist • Kewanee, IL

Professional Overview & Biography Verified Profile Summary

Roger Craddock, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kewanee, IL. Practice services are available at 24 PINE TREE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24 Pine Tree Rd

Kewanee, IL 614439639

Telephone 3098542522

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kewanee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Kewanee, 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: 2022-04-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 14431547

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

6 Historical Events
NPI Profile Active April 09, 2022

NPI status registered as active in NPPES database

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Updated Practice Location April 09, 2022

Registered at 24 PINE TREE RD, KEWANEE, IL 614439639 (Tel: 3098542522)

📍
Updated Business Mailing Address April 09, 2022

Registered at 24 PINE TREE RD, KEWANEE, IL 614439639 (Tel: 3098542522)

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Provider Name / Credentials Updated April 09, 2022

Recorded as ROGER CRADDOCK, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2022

Speech-Language Pathologist (License #14431547 in IL)

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Initial NPI Registration & Enumeration April 09, 2022

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: 1790427805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2022
Last Update: April 09, 2022
Sole Proprietor: No

Mailing Address

24 Pine Tree Rd

Kewanee, IL 614439639

Phone: 3098542522

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.