Summer Herzog
Summer Herzog is a Qualified Speech Language Pathologist in Glenview, Illinois. Qualified in 2024, 2 years ago. Practices as a sole proprietor.
- Years since qualifying
- 2
- In the registry since
- 2024
Practice location Address checks out
1920 Waukegan Rd Ste 212Glenview, IL 60025-1700
Phone: (847) 604-0027
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1073367876 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2024 |
| Last updated in NPPES | April 16, 2024 |
| Certification date | April 16, 2024 |
| Mailing address | 1920 Waukegan Rd Ste 212, Glenview, IL 60025-1700 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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Amanda Jordan
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Mr. Kenneth Warren Jordan, SLP
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