Healthcare Provider Details

I. General information

NPI: 1902713944
Provider Name (Legal Business Name): SHAELYN ANN HATCHER SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2224 ONEIDA ST APT 206
JOLIET IL
60435-6529
US

IV. Provider business mailing address

2224 ONEIDA ST APT 206
JOLIET IL
60435-6529
US

V. Phone/Fax

Practice location:
  • Phone: 815-514-6184
  • Fax:
Mailing address:
  • Phone: 815-514-6184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number217.010811
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: