Provider Demographics
NPI:1366581779
Name:CHAPEL, TENNILLE MARIA (MA, CCC-SLP, L)
Entity type:Individual
Prefix:MRS
First Name:TENNILLE
Middle Name:MARIA
Last Name:CHAPEL
Suffix:
Gender:F
Credentials:MA, CCC-SLP, L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20453 S ACORN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8150
Mailing Address - Country:US
Mailing Address - Phone:815-469-5037
Mailing Address - Fax:815-469-5037
Practice Address - Street 1:10071 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1272
Practice Address - Country:US
Practice Address - Phone:815-464-6069
Practice Address - Fax:815-464-6970
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL12032199OtherASHA
IL9932126OtherBCBS