Provider Demographics
NPI:1043520315
Name:MONAHAN, DEANNA (MHS, CCC/SLP-L)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:
Last Name:MONAHAN
Suffix:
Gender:F
Credentials:MHS, CCC/SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 JANA LANE
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450
Mailing Address - Country:US
Mailing Address - Phone:815-685-9776
Mailing Address - Fax:
Practice Address - Street 1:305 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:MINOOKA
Practice Address - State:IL
Practice Address - Zip Code:60447-9585
Practice Address - Country:US
Practice Address - Phone:815-685-9776
Practice Address - Fax:815-685-9776
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010593235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist