Healthcare Provider Details

I. General information

NPI: 1821681602
Provider Name (Legal Business Name): BRIANNA RENEE RYCHLEC M.S. CF-SLP/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8044 CHESTERTON DR
WOODRIDGE IL
60517-8010
US

IV. Provider business mailing address

1811 W DIEHL RD STE 100
NAPERVILLE IL
60563-6400
US

V. Phone/Fax

Practice location:
  • Phone: 630-687-2743
  • Fax:
Mailing address:
  • Phone: 630-428-1595
  • Fax: 630-428-8772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242.005798
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: