MEDICARE: KALI MANOJLOVICH 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
1	235Z00000X	Speech-Language Pathologist		IN

General Provider Information

NPI Number	:	1649102989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALI MANOJLOVICH SLP

Provider Business Mailing Address
First Line	:	11496 BROADWAY
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-7106
Country	:	US
Telephone Number	:	219-213-2222
Fax Number	:	219-881-8697

Provider Business Practice Location Address
First Line	:	11496 BROADWAY
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-7106
Country	:	US
Telephone Number	:	219-213-2222
Fax Number	:	219-881-8697

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ KALI MANOJLOVICH SLP” Practice Location

Language	Start Address	Practice Location

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