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NPI Code Detail

MEDICARE: KELLY MADELINE CLAIRE SCHADE

MEDICARE: KELLY MADELINE CLAIRE SCHADE
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 Pathologist146.018748IL

General Provider Information

NPI Number : 1891522603
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY MADELINE CLAIRE SCHADE
Provider Business Mailing Address
First Line : 2833 N CLYBOURN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-8470
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2833 N CLYBOURN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-8470
Country : US
Telephone Number : 847-604-0027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2024
Last Update Date : 11/13/2025

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Directions to “ KELLY MADELINE CLAIRE SCHADE ” Practice Location

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