Healthcare Provider Details

I. General information

NPI: 1669040184
Provider Name (Legal Business Name): ABIGAIL KALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 W NIPPERSINK RD
ROUND LAKE IL
60073-3701
US

IV. Provider business mailing address

36911 N CORONA DR
LAKE VILLA IL
60046-7724
US

V. Phone/Fax

Practice location:
  • Phone: 847-270-9920
  • Fax:
Mailing address:
  • Phone: 224-944-7559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: