Healthcare Provider Details

I. General information

NPI: 1578859948
Provider Name (Legal Business Name): JUSTYNA M SALISZEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 DUNAMON DR
BARTLETT IL
60103-1948
US

IV. Provider business mailing address

1228 DUNAMON DR
BARTLETT IL
60103-1948
US

V. Phone/Fax

Practice location:
  • Phone: 630-709-3082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242001904
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146011117
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: