Provider Demographics
NPI:1326560590
Name:KOBEL, ALISON MARIE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:MARIE
Last Name:KOBEL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S BLUE ISLAND AVE UNIT 907
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-3070
Mailing Address - Country:US
Mailing Address - Phone:708-935-1165
Mailing Address - Fax:
Practice Address - Street 1:1550 S BLUE ISLAND AVE UNIT 907
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-3070
Practice Address - Country:US
Practice Address - Phone:708-935-1165
Practice Address - Fax:708-935-1165
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146013146235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist