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Deactivated NPI 1154527737 Deactivated / Inactive NPI Female Practitioner

Shannon Bohnert , MA, CCC-SLP

Speech-Language Pathologist • Lisle, 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, Shannon Bohnert has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2007
NPI Deactivation Date April 24, 2012
Total Practice Duration ~5 Years of Practice (2007 – 2012)

Professional Overview & Biography Verified Profile Summary

Shannon Bohnert, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Lisle, IL. Throughout an active medical career spanning 5 years, Shannon Bohnert provided care at the practice location at 2900 OGDEN AVENUE until profile deactivation on 2012-04-24.

Practice Location & Contact Primary Location

Practice Address

2900 Ogden Avenue

Lisle, IL 60532

Telephone 6307784500

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lisle, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Lisle, 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: 2025-09-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146008620

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

2 Associated Practitioners
Jude Hines , LCSW

Social Worker - Clinical

NPI 1043722291

Licensed Clinical Social Worker

Wendy Goes , OTR, L

Occupational Therapist

NPI 1942920921

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
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Updated Practice Location September 18, 2025

Registered at 2900 OGDEN AVENUE, LISLE, IL 60532 (Tel: 6307784500)

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Updated Business Mailing Address September 18, 2025

Registered at 2900 OGDEN AVENUE, LISLE, IL 60532 (Tel: 6307784500)

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Provider Name / Credentials Updated September 18, 2025

Recorded as SHANNON BOHNERT, MA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2025

Speech-Language Pathologist (License #146008620 in IL)

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NPI Profile Deactivated April 24, 2012

Record deactivated on April 24, 2012

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Initial NPI Registration & Enumeration June 21, 2007

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: 1154527737
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2007
Last Update: September 18, 2025
Deactivation Date: April 24, 2012
Sole Proprietor: Yes

Mailing Address

2900 Ogden Avenue

Lisle, IL 60532

Phone: 6307784500

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.