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Deactivated NPI 1821407883 Deactivated / Inactive NPI Male Practitioner

Charle Bordeau

Speech-Language Pathologist • Springfield, 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, Charle Bordeau has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2014
NPI Deactivation Date May 15, 2025
Total Practice Duration ~11 Years of Practice (2014 – 2025)

Professional Overview & Biography Verified Profile Summary

Charle Bordeau was a registered Speech-Language Pathologist practicing in Springfield, IL. Throughout an active medical career spanning 11 years, Charle Bordeau provided care at the practice location at 3400 W WASHINGTON ST until profile deactivation on 2025-05-15.

Practice Location & Contact Primary Location

Practice Address

3400 W Washington St

Springfield, IL 627117917

Telephone 2177879600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
98 Specialists

Practicing in Springfield, 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 146.006445

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

29 Associated Practitioners
Michelle Olinger , PTA

Physical Therapy Assistant

NPI 1013163856

Physical Therapist Assistant

Deepika Medavaram

Occupational Therapy Assistant

NPI 1053567891
Amie Carter , COTA, L

Occupational Therapy Assistant

NPI 1083329882

Certified Occupational Therapy Assistant, L

Julie Hutter , OTR, L

Occupational Therapist

NPI 1124284971

Occupational Therapist Registered, L

Linda Mcauliff

Occupational Therapy Assistant

NPI 1134376023
Rita Page

Physical Therapy Assistant

NPI 1164678900

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 15, 2025

Record deactivated on May 15, 2025

NPI Profile Active August 04, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 04, 2014

Registered at 3400 W WASHINGTON ST, SPRINGFIELD, IL 627117917 (Tel: 2177879600)

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Updated Business Mailing Address August 04, 2014

Registered at 3400 W WASHINGTON ST, SPRINGFIELD, IL 627117917

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Provider Name / Credentials Updated August 04, 2014

Recorded as CHARLE BORDEAU

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2014

Speech-Language Pathologist (License #146.006445 in IL)

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Initial NPI Registration & Enumeration August 04, 2014

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: 1821407883
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2014
Last Update: August 04, 2014
Deactivation Date: May 15, 2025

Mailing Address

3400 W Washington St

Springfield, IL 627117917

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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