Healthcare Provider Details

I. General information

NPI: 1659027589
Provider Name (Legal Business Name): KATIE TENGEL SPEECH LANGUAGE LEARNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5754 N ROGERS AVE
CHICAGO IL
60646-5955
US

IV. Provider business mailing address

5834 N KINGSDALE AVE
CHICAGO IL
60646-6625
US

V. Phone/Fax

Practice location:
  • Phone: 847-738-0771
  • Fax: 773-997-1059
Mailing address:
  • Phone: 847-738-0771
  • Fax: 773-997-1059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATHRYN OGLESBEE
Title or Position: SPEECH PATHOLOGIST
Credential: MS CCC-SLP
Phone: 847-738-0771