Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700432424 Individual Practitioner Female Practitioner

Jaclyn Ann Sullivan

Speech-Language Pathologist • Palos Park, IL

Professional Overview & Biography Verified Profile Summary

Jaclyn Sullivan is a registered healthcare professional specializing in Speech-Language Pathologist in Palos Park, IL. Practice services are available at 12910 S LA GRANGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12910 S La Grange Rd

Palos Park, IL 604641717

Telephone 7084481234
Associated Practice Facility / Clinic
🏢 Stevens Enterprises Inc. Facility NPI 1841599263

Specialty Benchmarks & Practice Insights

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

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Palos 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

CMS Verified: 2024-04-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146.011457

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.

Hearing Instrument Specialist

NUCC Taxonomy Code: 237700000X

State License IL 2676

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1164635280

Master of Science, CCCA

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 24, 2024

Registered at 12910 S LA GRANGE RD, PALOS PARK, IL 604641717 (Tel: 7084481234)

📍
Updated Business Mailing Address April 24, 2024

Registered at 12910 S LA GRANGE RD, PALOS PARK, IL 604641717 (Tel: 7084481234)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2024

Hearing Instrument Specialist (License #2676 in IL)

NPI Profile Active August 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2019

Registered at 17833 HARLEM AVE, TINLEY PARK, IL 604773605 (Tel: 7087824077)

📍
Updated Business Mailing Address August 18, 2019

Registered at 21223 SAGE BRUSH LN, MOKENA, IL 604481488 (Tel: 7088458912)

👤
Provider Name / Credentials Updated August 18, 2019

Recorded as JACLYN SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2019

Speech-Language Pathologist (License #146011457 in IL)

🟢
Initial NPI Registration & Enumeration August 18, 2019

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: 1700432424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2019
Last Update: April 24, 2024
Sole Proprietor: No

Mailing Address

12910 S La Grange Rd

Palos Park, IL 604641717

Phone: 7084481234

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.