Provider Demographics
NPI:1942917794
Name:UHLENHAKE, AUDRA ELISE
Entity type:Individual
Prefix:
First Name:AUDRA
Middle Name:ELISE
Last Name:UHLENHAKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 N ADELE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1704
Mailing Address - Country:US
Mailing Address - Phone:203-819-3043
Mailing Address - Fax:
Practice Address - Street 1:796 N ADELE ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-1704
Practice Address - Country:US
Practice Address - Phone:203-819-3043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist