Kelly Barone

Individual provider Active NPI Speech-Language Pathologist · Vernon Hills, IL

NPI 1548001084 · NPPES record last updated Jun 6, 2024

Key facts

NPI
1548001084
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242.007213 (IL)
Practice address
565 Lakeview Pkwy Ste 150
Vernon Hills, IL 60061-1839
Phone
(877) 486-4140
NPI assigned
Jun 6, 2024
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

LicenseStateTypeSpecialty
242.007213ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242.007213 IL Yes

Addresses

Primary practice location

565 Lakeview Pkwy Ste 150
Vernon Hills, IL 60061-1839

Mailing address

6315 N Olcott Ave
Chicago, IL 60631-1830
Phone (773) 206-2127

Other providers in Vernon Hills, IL

All providers in Vernon Hills, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.