Noel Khattary, M.A.,CCC-SLP

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

NPI 1922247014 · NPPES record last updated Feb 12, 2009

Key facts

NPI
1922247014
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146.008373 (IL)
Practice address
120 Indian Dr
Clarendon Hills, IL 60514-1120
Phone
(513) 673-2282
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146.008373ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.008373 IL Yes

Addresses

Primary practice location

120 Indian Dr
Clarendon Hills, IL 60514-1120

Mailing address

120 Indian Dr
Clarendon Hills, IL 60514-1120
Phone (513) 673-2282

Other providers in Clarendon Hills, IL

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

Sources for this page

Verify at the official NPI Registry.