Healthcare Provider Details

I. General information

NPI: 1871400978
Provider Name (Legal Business Name): KAYLA NICOLE FEDERICI MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

7700 W 127TH ST
PALOS HEIGHTS IL
60463-1257
US

IV. Provider business mailing address

8800 W 119TH ST
PALOS PARK IL
60464-1081
US

V. Phone/Fax

Practice location:
  • Phone: 708-448-1084
  • Fax: 708-923-7077
Mailing address:
  • Phone: 708-448-4800
  • Fax: 708-448-4880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.029298
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: