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

Keeler Van Breusegen

Individual provider Speech-Language Pathologist · NPI 1700751849

Keeler Van Breusegen is a Speech-Language Pathologist in Waterloo, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

706 Rogers St
Waterloo, IL 62298-1780
Phone: (618) 939-7761
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 242018412 (IL)

Record details

NPI number1700751849
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address2826 Woodson Dr, Columbia, IL 62236-4352

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