Provider Demographics
NPI:1477968154
Name:OLZNOI, CHARLYNE
Entity Type:Individual
Prefix:
First Name:CHARLYNE
Middle Name:
Last Name:OLZNOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25722 GALWAY AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-4710
Mailing Address - Country:US
Mailing Address - Phone:630-670-2020
Mailing Address - Fax:
Practice Address - Street 1:25722 GALWAY AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-4710
Practice Address - Country:US
Practice Address - Phone:630-670-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-21
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.011673235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist