Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Larry Luke Panozzo Jr., CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1811143506

Mr. Larry Luke Panozzo Jr., CCC-SLP is a Qualified Speech Language Pathologist in Joliet, Illinois. Qualified in 2006, 20 years ago. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2008
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2203 Pembridge Ln
Joliet, IL 60431-7731
Phone: (815) 409-8301
Fax: (815) 267-8505
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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 12125459 (IL)

Record details

NPI number1811143506
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 13, 2008
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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