Provider Demographics
NPI:1205826369
Name:LOBODZINSKI, KAREN LEE (CCC-SLP/L)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LEE
Last Name:LOBODZINSKI
Suffix:
Gender:F
Credentials: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 1:40079 N SIBLEY DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:IL
Mailing Address - Zip Code:60002-8423
Mailing Address - Country:US
Mailing Address - Phone:847-727-9021
Mailing Address - Fax:847-838-2021
Practice Address - Street 1:40079 N SIBLEY DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:IL
Practice Address - Zip Code:60002-8423
Practice Address - Country:US
Practice Address - Phone:847-727-9021
Practice Address - Fax:847-838-2021
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist