Kristy L Driscoll
Individual provider Active NPI Speech-Language Pathologist · Forest Park, IL
NPI 1013633544 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1013633544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2416597 (IL)
- Practice address
- 925 Beloit Ave
Forest Park, IL 60130-2301 - Phone
- (708) 979-0828
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2416597 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2416597 | IL | Yes |
Addresses
Primary practice location
925 Beloit Ave
Forest Park, IL 60130-2301
Mailing address
925 Beloit Ave
Forest Park, IL 60130-2301
Other providers in Forest Park, IL
- Emily Domabyl
- Molly May Dooley
- Megan Dorn
- Jennifer Marie Doyle
- Dr. Karen Fields Inc
- Paul Francis Driscoll
- Tammie Areatha Durr
- De'Jiah Edwards
- Kenneth U Ekechukwu
- Jennifer Elgin
All providers in Forest Park, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.