Provider Demographics
NPI:1306915855
Name:OKEL, KELLY SARLINA (MS)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:SARLINA
Last Name:OKEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29D STONEHILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543
Mailing Address - Country:US
Mailing Address - Phone:630-554-6156
Mailing Address - Fax:630-554-6378
Practice Address - Street 1:29D STONEHILLE ROAD
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543
Practice Address - Country:US
Practice Address - Phone:630-554-6156
Practice Address - Fax:630-554-6378
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242000256235Z00000X
146.008918235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist