Doctor Name: | MICHELLE KRANKOSKI |
NPI Number: | 1215382205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146.012785 |
Business Practice Address: | 18 N Catherine Ave La Grange, IL - 605255930 |
Business Phone Number: | 7084829453 |
Business Fax Number: | 7084829454 |
Mailing Address: | 18 N Catherine Ave, LA GRANGE |
State: | IL |
Postal Code: | 605255930 |
Phone Number: | 7084829453 |
Fax Number: | 7084829454 |
NPI Enumeration Date: | 04/27/2016 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.012785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |