Provider Demographics
NPI:1619480498
Name:HILL, KAREN SUE (MS)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUE
Last Name:HILL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:SUE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:13700 S STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60827-1629
Mailing Address - Country:US
Mailing Address - Phone:708-768-5671
Mailing Address - Fax:708-201-3682
Practice Address - Street 1:13700 S STEWART AVE
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:IL
Practice Address - Zip Code:60827-1629
Practice Address - Country:US
Practice Address - Phone:708-768-5671
Practice Address - Fax:708-201-3682
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.001592235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist