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MAGGIE SULLIVAN
NPI 1629507413
Speech-Language Pathologist in Harristown, IL

Active since June 06, 2017
1095 N. MERIDIAN ROAD, HARRISTOWN, IL 62537(217) 963-2621 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Nov 6, 2020, Jun 6, 2017 (3 updates tracked since 2017).

About Maggie Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGGIE SULLIVAN (NPI 1629507413) is an individual speech-language pathologist provider in Harristown, Illinois, licensed in Illinois (146.013726) and active in the NPI registry since June 2017. She maintains a secondary practice location in East Peoria.

NPPES Registry Identity

NPI1629507413
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMAGGIE SULLIVAN
Location Address1095 N. MERIDIAN ROADHarristown, IL 62537
Mailing Address5879 Heritage LnOakley, IL 62501-7578 · (217) 520-5442
Phone(217) 963-2621
Sole ProprietorNo
Enumeration DateJune 6, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
✔ NPI 1629507413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 146.013726
Definition
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.
1095 N. MERIDIAN ROAD, Harristown, IL 62537
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Secondary Practice Location 1

Location 1411 E Washington StEast Peoria, IL 61611-2663 · Phone (309) 282-6704

Other Identifiers 1

Medicaid1629507413IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maggie Sullivan's NPI number?

The NPI number for Maggie Sullivan is 1629507413. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Maggie Sullivan located?

Maggie Sullivan practices at 1095 N. Meridian Road, Harristown, IL 62537. The listed phone number is (217) 963-2621.

What is Maggie Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Maggie Sullivan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.