Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780296053 Individual Practitioner Female Practitioner

Kelly Wallner

Speech-Language Pathologist • Park Ridge, IL

Professional Overview & Biography Verified Profile Summary

Kelly Wallner is a registered healthcare professional specializing in Speech-Language Pathologist in Park Ridge, IL. Practice services are available at 1001 S FAIRVIEW AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 S Fairview Ave

Park Ridge, IL 600684712

Telephone 8473184235

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Park Ridge, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.3 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Park Ridge, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License 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.

Secondary Practice Locations

550 W Saint Charles Rd

Elmhurst, IL 601263038

Phone: 8154691500

18 N Catherine Ave

La Grange, IL 605255930

Phone: 7084829453

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Elizabeth Dimatteo

Speech-Language Pathologist

NPI 1730968728

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 26, 2023

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

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

Speech-Language Pathologist (License #146.016037 in IL)

NPI Profile Active August 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2020

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

📍
Updated Business Mailing Address August 18, 2020

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

👤
Provider Name / Credentials Updated August 18, 2020

Recorded as KELLY WALLNER

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

Speech-Language Pathologist (License #242.005889 in IL)

🟢
Initial NPI Registration & Enumeration August 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.