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

Individual provider Speech-Language Pathologist · NPI 1770152563

Mycaleen Raye Ravnikar is a Speech-Language Pathologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

400 N McClurg Ct Apt 1511
Chicago, IL 60611-4371
Phone: (815) 570-1043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146016495 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 242006361 (IL)

Record details

NPI number1770152563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address400 N McClurg Ct Apt 1511, Chicago, IL 60611-4371

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