Unknown Individual – Speech-Language Pathologist, NPI 1407974363

Unknown Individual is a healthcare provider. based in Pekin, Illinois. specializing in Speech-Language Pathologist. They hold a License No. 146001816 (IL). The NPI Number for Unknown Individual is 1407974363

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407974363
Phone
(309) 353-5940
Address
2351 BROADWAY ST
Deactivation Date
1 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2351 BROADWAY ST

    PEKIN, IL 615543972

    Phone: (309) 353-5940

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 61554)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1407974363 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Pekin, Illinois?
For routing, start with Pekin, Illinois for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

MRS. AMANDA MARIE CHAMPION (MS)

Speech-Language Pathologist
Pekin Hospital, 600, South 13th Street, Pekin, Tazewell County, Illinois, 61554, United States
NPI: 1841270279
Frank Scott Parkway West, Gartside, Belleville, Saint Clair County, Illinois, 62223, United States
NPI: 1578615225
74 HIGHLAND AVE
NPI: 1598897787

MARIAH FAIVRE (M.S.)

Speech-Language Pathologist
Pekin Hospital, 600, South 13th Street, Pekin, Tazewell County, Illinois, 61554, United States
NPI: 1912177528

SHAUNDRA R DRAPER (M.S. CCC-SLP)

Speech-Language Pathologist
603 S 13TH ST
NPI: 1205156684

JILL R RECOR (SLP)

Speech-Language Pathologist
2351 BROADWAY ST
NPI: 1376846345

SUZANN MICHELLE COLTHURST (SLP)

Speech-Language Pathologist
2988 COURT ST
NPI: 1932492097

MANDI J SAWLAW (SLP)

Speech-Language Pathologist
2988 COURT ST
NPI: 1407141898

MS. KATIE J L CAPEL

Speech-Language Pathologist
501 WASHINGTON ST
NPI: 1326325804