Healthcare Provider Details

I. General information

NPI: 1003725821
Provider Name (Legal Business Name): KAYLEE ANN JOYCE M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 WISNER ST
PARK RIDGE IL
60068-2708
US

IV. Provider business mailing address

312 N REDFIELD CT
PARK RIDGE IL
60068-2952
US

V. Phone/Fax

Practice location:
  • Phone: 847-318-4385
  • Fax:
Mailing address:
  • Phone: 224-244-1240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.017744
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: