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

Stephanie Ellen Ruktantichoke, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1699031112

Stephanie Ellen Ruktantichoke, CCC-SLP is a Speech-Language Pathologist in Crestwood, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2012.

Licensed in
IL, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

14255 Cicero Ave
Crestwood, IL 60445-2154
Phone: (708) 371-0400
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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 146010926 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 105353 (TX)

Record details

NPI number1699031112
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 10, 2012

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