Provider Demographics
NPI:1023200870
Name:KALTEUX, JENNIFER COHAN (MS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:COHAN
Last Name:KALTEUX
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LINN
Other - Last Name:COHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 BURNING TREE RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-2331
Mailing Address - Country:US
Mailing Address - Phone:773-844-4626
Mailing Address - Fax:847-841-3353
Practice Address - Street 1:4 BURNING TREE RD
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-2331
Practice Address - Country:US
Practice Address - Phone:773-844-4626
Practice Address - Fax:847-841-3353
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.007983235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist