Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY NICOLE BANASZAK
Active Sole ProprietorMRS. KELLY NICOLE BANASZAK is a Speech, Language and Hearing Specialist healthcare provider located in PARK FOREST, Illinois. NPI 1891550604 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · PARK FOREST, IL
Registration Details
- NPI Number
- 1891550604
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2024 (2.4792003162215 yrs)
- Last Updated
- Oct 24, 2024
- License
-
242.007647 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
242 S ORCHARD DRPARK FOREST, IL, 604662041Browse IL providers · Browse ZIP 60466
- Phone
- 9400708668
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in PARK FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| MS. JADA CAROL BELL | M.A., CCC-SLP | 1366674624 |
| MR. SYLVESTER A WRIGHT | MHS CCC-SLP | 1437443926 |
| LINDSAY ANNE DOWNS | M.S. CCC-SLP | 1265719157 |
| MR. DAVID JOSEPH SHELDON | LICENSED SPEECH-LANG | 1093092793 |
| LENAE JOY TIETJENS | CCC-SLP | 1851810964 |
| MS. KATHERINE BALMASEDA | — | 1841719952 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.