Provider Demographics
NPI:1578263927
Name:EPICH, KATHLEEN WINSLETTE (MED, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:WINSLETTE
Last Name:EPICH
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 W CORTEZ ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-3630
Mailing Address - Country:US
Mailing Address - Phone:770-853-5088
Mailing Address - Fax:
Practice Address - Street 1:2028 W CORTEZ ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-3630
Practice Address - Country:US
Practice Address - Phone:770-853-5088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist