Petkovich, Katherine Nicole

Petkovich, Katherine Nicole is an individual health care provider with primary practice located at 830 S Addison Ave , Villa Park IL 60181-2877. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Petkovich, Katherine Nicole can be contacted via phone (630) 620-4433.

Contact Information

Primary practice address
830 S Addison Ave Villa Park IL 60181-2877
Phone: (630) 620-4433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146008097 Illinois

Profile Details

NPI number 1972864874
LBN Legal business name Petkovich, Katherine Nicole
Credentials M.S. CCC-SLP/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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