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

Individual provider Speech-Language Pathologist · NPI 1356404552

Mrs. Stacey Ann Carroll, MACCCSLP is a Speech-Language Pathologist in Palos Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

10550 Ridgewood Dr
Palos Park, IL 60464-2522
Phone: (773) 742-9817
Fax: (312) 506-5333
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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 146008234 (IL)

Record details

NPI number1356404552
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESAugust 17, 2013

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