Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER GARREN CRADDOCK, CCC-SLP
ActiveROGER GARREN CRADDOCK, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in KEWANEE, Illinois. NPI 1790427805 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · KEWANEE, IL
Registration Details
- NPI Number
- 1790427805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2022 (4.3420235648885 yrs)
- Last Updated
- Apr 9, 2022
- License
-
14431547 (IL)
Practice Information
- Address
-
24 PINE TREE RDKEWANEE, IL, 614439639Browse IL providers · Browse ZIP 61443
- Phone
- 3098542522
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in KEWANEE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. LORETTA A CHRISTIANSEN | — | 1518091222 |
| CARMEN SHAFE WEAVER | M.A., CCC-SLP | 1295857845 |
| AMANDA BROWN | — | 1205157880 |
| LISA R SALISBURY | M.S. CCC-SLP | 1306105713 |
| MRS. SUSAN RENEE DRAMINSKI | CCC-SLP/L | 1194241158 |
| MISS TAYLOR ELIZABETH BLAIR | — | 1477070795 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.