Healthcare Provider Details

I. General information

NPI: 1114850799
Provider Name (Legal Business Name): KRISTEN ARAGON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 N CLYBOURN AVE FL 3
CHICAGO IL
60614-3193
US

IV. Provider business mailing address

498 E THACKER ST
DES PLAINES IL
60016-3154
US

V. Phone/Fax

Practice location:
  • Phone: 773-814-7303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: