KATIE WILSON (M.S. CCC-SLP/L) – Speech-Language Pathologist, NPI 1861779167

KATIE WILSON (M.S. CCC-SLP/L) is a healthcare provider. based in Hanover park, Illinois. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S. CCC-SLP/L. They hold a License No. 146.009792 (IL). The NPI Number for KATIE WILSON (M.S. CCC-SLP/L) is 1861779167

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KATIE WILSON (M.S. CCC-SLP/L)
NPI
1861779167
Phone
(630) 556-2000
Address
2000 W Lake St
Enumeration Date
15 November 2011
Last Update Date
12 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306342693
Graduation Year
2008 (18 years ago)
PAC ID
0446606529
Group Practice PAC ID
8921230137
Professional Enrollment ID
I20231025002825
Address ID
IL605102479BA1079XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

446 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IL

Provider Addresses for KATIE WILSON (M.S. CCC-SLP/L)

  • 2000 W Lake St

    Hanover Park, IL 601334302

    Phone: (630) 556-2000

    Type: Location

  • 1399 MARLEIGH LN

    SOUTH ELGIN, IL 601773051

    Phone: (309) 532-4322

    Type: Mailing

  • 700 N MCLEAN BLVD

    SOUTH ELGIN, IL 601771442

    Phone: (224) 253-4738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231025002825IQualified Speech Language PathologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921230137View full group profile
NameSpecialtyState
-IL
-IL
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
-VA
-IL
Qualified Speech Language PathologistIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Where can patients find KATIE WILSON (M.S. CCC-SLP/L)'s NPI?
You can confirm KATIE WILSON (M.S. CCC-SLP/L) with NPI 1861779167; it appears in the national provider directory.
Is KATIE WILSON (M.S. CCC-SLP/L) currently active in the NPI registry?
CMS-published data lists KATIE WILSON (M.S. CCC-SLP/L) as an active registrant.
What field does KATIE WILSON (M.S. CCC-SLP/L) work in?
You can think of KATIE WILSON (M.S. CCC-SLP/L) as practicing within Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Does KATIE WILSON (M.S. CCC-SLP/L) practice in Illinois?
You will see Hanover Park, Illinois on file for KATIE WILSON (M.S. CCC-SLP/L) alongside any extra practice locations.
How can I contact KATIE WILSON (M.S. CCC-SLP/L)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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