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Kelly Wallner

Speech-Language Pathologist β€’ Park Ridge, IL

Active NPI 1780296053 Individual Practitioner Female Practitioner
Practice location in NPPES

1001 S Fairview Ave
Park Ridge, IL 600684712

Call 8473184235 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1001 S Fairview Ave

Park Ridge, IL 600684712

Telephone 8473184235
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Elmhurst, IL; La Grange, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Park Ridge and Illinois

82 active clinicians are listed under Speech-Language Pathologist with a practice address in Park Ridge, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Park Ridge

0% of these 82 clinicians have the CMS telehealth indicator.

2.4% of these 82 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 146.016037

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

550 W Saint Charles Rd

Elmhurst, IL 601263038

Phone: 8154691500

18 N Catherine Ave

La Grange, IL 605255930

Phone: 7084829453

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 26, 2023

Registered at 1001 S FAIRVIEW AVE, PARK RIDGE, IL 600684712 (Tel: 8473184235)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2022

Speech-Language Pathologist (license number reported to NPPES: IL 146.016037)

βœ…
NPI Profile Active August 18, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 18, 2020

Registered at 3105 CLINTON AVE, BERWYN, IL 604022903 (Tel: 7087952322)

πŸ“
Business Mailing Address (Initial Record) August 18, 2020

Registered at 3424 HOLLYWOOD AVE, BROOKFIELD, IL 605131702 (Tel: 7082509181)

πŸ‘€
Provider Name / Credentials (Initial Record) August 18, 2020

Recorded as KELLY WALLNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Speech-Language Pathologist (license number reported to NPPES: IL 242.005889)

🟒
Initial NPI Registration & Enumeration August 18, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780296053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2020
Last Update: March 26, 2023
Sole Proprietor: Yes

Mailing Address

3424 Hollywood Ave

Brookfield, IL 605131702

Phone: 7082509181

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.