Provider Demographics
NPI:1851418487
Name:HURST, KAREN MERRILL (MSCCCSLPL)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MERRILL
Last Name:HURST
Suffix:
Gender:F
Credentials:MSCCCSLPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2279 KENYON CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-1392
Mailing Address - Country:US
Mailing Address - Phone:630-978-4029
Mailing Address - Fax:630-978-4179
Practice Address - Street 1:2279 KENYON CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-1392
Practice Address - Country:US
Practice Address - Phone:630-978-4029
Practice Address - Fax:630-978-4179
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
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