| Doctor Name: | MISS KATIE EILEEN FITZGIBBONS |
| NPI Number: | 1447582192 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP/L |
| License Number: | 146008048 |
| Business Practice Address: | 6300 W 95th St Oak Lawn, IL - 604532256 |
| Business Phone Number: | 7085998800 |
| Business Fax Number: | |
| Mailing Address: | 9440 S 51st Ave, Unit 311 OAK LAWN |
| State: | IL |
| Postal Code: | 604533684 |
| Phone Number: | 7738372280 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2010 |
| NPI Last Update Date: | 02/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146008048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |