STACY IRENE DEJONG CCC-SLP
NPI 1437664059
Speech-Language Pathologist in Frankfort, IL

Active since December 05, 2017
20912 S FRANKFORT SQUARE RD, FRANKFORT, IL 60423(815) 469-6993 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Speech-Language Pathologist

About STACY DEJONG

This page provides the complete NPI Profile along with additional information for Stacy Dejong, a provider established in Frankfort, Illinois with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1437664059 assigned on December 2017. The practitioner's primary taxonomy code is 235Z00000X with license number 146012745 (IL). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1437664059 Verify this NPI
Provider Name
STACY IRENE DEJONG CCC-SLP
Other Name
STACY IRENE MAAG
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
20912 S FRANKFORT SQUARE RD FRANKFORT, IL 60423
Location Phone
(815) 469-6993
Mailing Address
18110 DORCHESTER AVE LANSING, IL 60438
Is Sole Proprietor?
No
Enumeration Date
12-05-2017
Last Update Date
12-05-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
146012745
License State
IL
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437664059, enumerated as an "individual" on December 05, 2017.

The provider is located at 20912 S FRANKFORT SQUARE RD FRANKFORT, IL 60423 and the phone number is (815) 469-6993.

Speech-Language Pathologist with taxonomy code 235Z00000X.