Provider Demographics
NPI:1043409824
Name:PASTELL, KAREN (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:PASTELL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 ONEIDA ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6544
Mailing Address - Country:US
Mailing Address - Phone:815-744-5661
Mailing Address - Fax:815-744-5662
Practice Address - Street 1:2121 ONEIDA ST
Practice Address - Street 2:SUITE 303
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6544
Practice Address - Country:US
Practice Address - Phone:815-744-5661
Practice Address - Fax:815-744-5662
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL231HA2400X, 231HA2500X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter