Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kelly Nicole Banaszak

Individual provider Speech-Language Pathologist · NPI 1891550604

Mrs. Kelly Nicole Banaszak is a Speech-Language Pathologist in Park Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

242 S Orchard Dr
Park Forest, IL 60466-2041
Phone: (940) 070-8668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 242.007647 (IL)

Record details

NPI number1891550604
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

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