Provider Demographics
NPI:1982071981
Name:SWEENEY, KARIN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2248 CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-1014
Mailing Address - Country:US
Mailing Address - Phone:630-308-1163
Mailing Address - Fax:
Practice Address - Street 1:2248 CLOVER LN
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-1014
Practice Address - Country:US
Practice Address - Phone:630-308-1163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.002683235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist