MEDICARE: KRISTYN BIELSKIS SPEECH-LANGUAGE PATH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		IL

General Provider Information

NPI Number	:	1003826124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTYN BIELSKIS SPEECH-LANGUAGE PATH

Provider Business Mailing Address
First Line	:	2008 SOUTHFIELD LN
Second Line	:
City	:	BYRON
State	:	IL
Zip	:	61010-8975
Country	:	US
Telephone Number	:	815-234-8186
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 SOUTHFIELD LN
Second Line	:
City	:	BYRON
State	:	IL
Zip	:	61010-8975
Country	:	US
Telephone Number	:	815-234-8186
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/08/2007

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Directions to “ KRISTYN BIELSKIS SPEECH-LANGUAGE PATH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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