Healthcare Provider Details

I. General information

NPI: 1245844125
Provider Name (Legal Business Name): SARAH ELIZABETH KENNY CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 W 95TH ST
OAK LAWN IL
60453-2600
US

IV. Provider business mailing address

12350 S HARLEM AVE
PALOS HEIGHTS IL
60463-1425
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-1232
  • Fax: 708-684-4914
Mailing address:
  • Phone: 708-684-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146-016350
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: