Provider Demographics
NPI:1215358106
Name:ROLSKI, KAROLINA (CCC SLP)
Entity Type:Individual
Prefix:
First Name:KAROLINA
Middle Name:
Last Name:ROLSKI
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 BEAU CT APT 2
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5846
Mailing Address - Country:US
Mailing Address - Phone:708-323-5951
Mailing Address - Fax:708-607-4003
Practice Address - Street 1:660 BEAU CT APT 2
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-5846
Practice Address - Country:US
Practice Address - Phone:708-323-5951
Practice Address - Fax:708-607-4003
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.011405235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist