Healthcare Provider Details

I. General information

NPI: 1679481493
Provider Name (Legal Business Name): ANNA ULANSKI M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 151ST ST
OAK FOREST IL
60452-1841
US

IV. Provider business mailing address

1021 KIM PL
LEMONT IL
60439-4314
US

V. Phone/Fax

Practice location:
  • Phone: 708-687-0900
  • Fax:
Mailing address:
  • Phone: 630-914-0595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.018995
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: