Provider Demographics
NPI:1598236085
Name:LEMKE, KATHERINE (SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LEMKE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:POLIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11013 N WOODSTOCK ST.
Mailing Address - Street 2:PO BOX 52
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-0052
Mailing Address - Country:US
Mailing Address - Phone:224-650-9822
Mailing Address - Fax:
Practice Address - Street 1:700 CLOVERLEAF DR
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:IL
Practice Address - Zip Code:60152-3377
Practice Address - Country:US
Practice Address - Phone:224-650-9822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146014794235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL242004906OtherSTATE LICENCE