Healthcare Provider Details

I. General information

NPI: 1316868995
Provider Name (Legal Business Name): SABRINA PESKIND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3298 RESOURCE PKWY
DEKALB IL
60115-5331
US

IV. Provider business mailing address

1552 HEARTHSTONE LN
NORTH AURORA IL
60542-6615
US

V. Phone/Fax

Practice location:
  • Phone: 815-756-5526
  • 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 StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: