Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn P Ciszon, SLP/L

Individual provider Speech-Language Pathologist · NPI 1114248036

Katelyn P Ciszon, SLP/L is a Qualified Speech Language Pathologist in Crystal Lake, Illinois. Qualified in 2010, 16 years ago. Practices with Empower Advanced Therapy, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2010
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Practice location Address checks out

407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602
Phone: (847) 766-0011
Fax: (847) 999-6722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 242001525 (IL)

Record details

NPI number1114248036
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP/L
Sole proprietorNo
NPI enumeratedJune 15, 2010
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Empower Advanced Therapy — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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