Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaide Jackstadt

Individual provider Speech-Language Pathologist · NPI 1942743703

Kaide Jackstadt is a Speech-Language Pathologist in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

93 S Main St
Glen Carbon, IL 62034-1413
Phone: (618) 420-3999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 242.003619 (IL)

Record details

NPI number1942743703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2016
Last updated in NPPESNovember 28, 2016
Mailing address93 S Main St, Glen Carbon, IL 62034-1413

Other providers in Glen Carbon