Kelly Wallner

Speech-Language Pathologist · Park Ridge, IL

Individual Active NPI

NPI number 1780296053

Practice location

1001 S Fairview Ave
Park Ridge, IL 60068-4712
Phone
(847) 318-4235

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NPI record

NPI
1780296053
Entity type
Individual (Type 1)
Enumeration date
August 18, 2020
Last updated
March 26, 2023
Certified
March 26, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 146.016037 IL

Mailing address

3424 Hollywood Ave
Brookfield, IL 60513-1702
Phone
(708) 250-9181

Other practice locations (2)

  • 550 W Saint Charles Rd, Elmhurst, IL 60126-3038 · (815) 469-1500
  • 18 N Catherine Ave, LA Grange, IL 60525-5930 · (708) 482-9453

About Kelly Wallner

Kelly Wallner is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1001 S Fairview Ave, Park Ridge, IL 60068-4712. The NPI number 1780296053 was assigned on August 18, 2020 and the record was last updated on March 26, 2023.

Kelly Wallner lists a license in the registry: #146.016037 (IL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Wallner?

The NPI number is 1780296053.

What is the phone number of Kelly Wallner?

The phone number listed for the practice location is (847) 318-4235.

Where is Kelly Wallner located?

1001 S Fairview Ave, Park Ridge, IL 60068-4712.

What is the taxonomy code for Kelly Wallner?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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