Healthcare Provider Details

I. General information

NPI: 1578409405
Provider Name (Legal Business Name): BITSKO THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 N LA SALLE DR UNIT 1804
CHICAGO IL
60610-3257
US

IV. Provider business mailing address

805 N LA SALLE DR UNIT 1804
CHICAGO IL
60610-3257
US

V. Phone/Fax

Practice location:
  • Phone: 540-442-0393
  • 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: KRISTEN BITSKO
Title or Position: OWNER AND SLP
Credential:
Phone: 540-442-0393