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NPI Code Detail

MEDICARE: KELLIE KREFFT M.A., CCC-SLP

MEDICARE: KELLIE KREFFT M.A., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist146012561IL

General Provider Information

NPI Number : 1134590094
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE KREFFT M.A., CCC-SLP
Provider Business Mailing Address
First Line : 411 E GENEVA RD
Second Line :
City : CAROL STREAM
State : IL
Zip : 60188-2457
Country : US
Telephone Number : 815-469-1500
Fax Number :
Provider Business Practice Location Address
First Line : 411 E GENEVA RD
Second Line :
City : CAROL STREAM
State : IL
Zip : 60188-2457
Country : US
Telephone Number : 815-469-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2015
Last Update Date : 08/20/2025

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Directions to “ KELLIE KREFFT M.A., CCC-SLP” Practice Location

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