Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104179134 Individual Practitioner Female Practitioner

Stephanie Gannon

Speech-Language Pathologist • Lake Forest, IL

Professional Overview & Biography Verified Profile Summary

Stephanie Gannon is a registered healthcare professional specializing in Speech-Language Pathologist in Lake Forest, IL. Practice services are available at 660 N WESTMORELAND RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

660 N Westmoreland Rd
900 Building, Lower Level 70

Lake Forest, IL 600451659

Telephone 8475356870
Associated Practice Facility / Clinic
🏢 Joseph P Imperato, M D, P C Facility NPI 1295700037

Specialty Benchmarks & Practice Insights

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

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Lake Forest, 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

State License IL 242.002184

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

40 Associated Practitioners
Dr. John Lee , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003063397

Doctor of Medicine (M.D.)

NPI 1013108059

Doctor of Medicine (M.D.), Master of Business Administration, Master of Public Health

Aristeidie Diveris

Anesthesiology

NPI 1013926112
NPI 1023269602

Master of Arts

Kaitlin Mastalerz , PA-C

Physician Assistant

NPI 1023404886

Physician Assistant (Certified)

Amy Barnard , APN

Clinical Nurse Specialist - Critical Care Medicine

NPI 1023420163

Advanced Practice Nurse

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2017

Registered at 660 N WESTMORELAND RD, 900 BUILDING, LOWER LEVEL 70, LAKE FOREST, IL 600451659 (Tel: 8475356870)

📍
Updated Business Mailing Address February 13, 2017

Registered at 660 N WESTMORELAND RD, 900 BUILDING, LOWER LEVEL 70, LAKE FOREST, IL 600451659

👤
Provider Name / Credentials Updated February 13, 2017

Recorded as STEPHANIE GANNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Speech-Language Pathologist (License #242.002184 in IL)

NPI Profile Active October 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2012

Registered at 660 N WESTMORELAND RD, LAKE FOREST, IL 600451659 (Tel: 8475358022)

📍
Updated Business Mailing Address October 15, 2012

Registered at 8820 W 92ND ST, HICKORY HILLS, IL 604571665 (Tel: 7084155291)

👤
Provider Name / Credentials Updated October 15, 2012

Recorded as STEPHANIE GANNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2012

Speech-Language Pathologist (License #242.002184 in IL)

🟢
Initial NPI Registration & Enumeration October 15, 2012

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: 1104179134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2012
Last Update: February 13, 2017
Sole Proprietor: No

Mailing Address

660 N Westmoreland Rd, 900 Building, Lower Level 70

Lake Forest, IL 600451659

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.