Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083995955 Individual Practitioner Female Practitioner

Lisa M Kubelka

Speech-Language Pathologist • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Lisa Kubelka is a registered healthcare professional specializing in Speech-Language Pathologist in Rockford, IL. Practice services are available at 209 9TH ST STE 302 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

209 9th St Ste 302

Rockford, IL 611042235

Telephone 7796964400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
138 Specialists

Practicing in Rockford, 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: 2020-01-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146.005286

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Speech-Language Pathologist
146.005286 (IL)

Practice Associates & Co-Workers

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

35 Associated Practitioners
NPI 1003798547

Doctor of Pharmacy (Pharm.D.)

NPI 1003899196

Doctor of Medicine (M.D.)

Dr. Kelsey Fausel , PharmD

Pharmacist - Emergency Medicine

NPI 1043175441

Doctor of Pharmacy (Pharm.D.)

Cassandra Euell , PMHNP-BC, MSN, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053673194

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Master of Science in Nursing, Registered Nurse

Dr. Sarah Bradley , MD

Obstetrics & Gynecology - Obstetrics

NPI 1124225073

Doctor of Medicine (M.D.)

Jordan Schuetz , PA-C

Physician Assistant

NPI 1134959216

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 09, 2020

Registered at 209 9TH ST STE 302, ROCKFORD, IL 611042235 (Tel: 7796964400)

📍
Updated Business Mailing Address January 09, 2020

Registered at PO BOX 78866, MILWAUKEE, WI 532788866 (Tel: 7796964400)

NPI Profile Active September 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2011

Registered at 10722 POTOMAC DR, HUNTLEY, IL 601424006 (Tel: 8154894470)

📍
Updated Business Mailing Address September 06, 2011

Registered at 10722 POTOMAC DR, HUNTLEY, IL 601424006 (Tel: 8154894470)

👤
Provider Name / Credentials Updated September 06, 2011

Recorded as LISA KUBELKA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Speech-Language Pathologist (License #146.005286 in IL)

🟢
Initial NPI Registration & Enumeration September 06, 2011

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: 1083995955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2011
Last Update: January 09, 2020
Sole Proprietor: No

Mailing Address

Po Box 78866

Milwaukee, WI 532788866

Phone: 7796964400

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.