MEDICARE: DR. KAREN ANN CZARNIK C.C.C.-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		IL

General Provider Information

NPI Number	:	1669595286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN ANN CZARNIK C.C.C.-SLP

Provider Business Mailing Address
First Line	:	7906 W 97TH PL
Second Line	:
City	:	HICKORY HILLS
State	:	IL
Zip	:	60457-2309
Country	:	US
Telephone Number	:	708-599-6983
Fax Number	:	773-298-3007

Provider Business Practice Location Address
First Line	:	7906 W 97TH PL
Second Line	:
City	:	HICKORY HILLS
State	:	IL
Zip	:	60457-2309
Country	:	US
Telephone Number	:	708-599-6983
Fax Number	:	773-298-3007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	07/08/2007

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