Provider Demographics
NPI:1942358486
Name:SUDLOW, KARIN EVA (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:EVA
Last Name:SUDLOW
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3078 SERENITY LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4669
Mailing Address - Country:US
Mailing Address - Phone:630-660-6016
Mailing Address - Fax:630-757-4265
Practice Address - Street 1:3078 SERENITY LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4669
Practice Address - Country:US
Practice Address - Phone:630-660-6016
Practice Address - Fax:630-757-4265
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146006830235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist