Provider Demographics
NPI:1598899056
Name:LENLING, ANN MARIE (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIE
Last Name:LENLING
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 1:653 N KINGSBURY ST
Mailing Address - Street 2:#1001
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-7069
Mailing Address - Country:US
Mailing Address - Phone:312-405-7005
Mailing Address - Fax:312-280-8553
Practice Address - Street 1:653 N KINGSBURY ST
Practice Address - Street 2:#1001
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7069
Practice Address - Country:US
Practice Address - Phone:312-405-7005
Practice Address - Fax:312-280-8553
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist