Provider Demographics
NPI:1710429949
Name:LALONDE, KATHRYN KELLY (ATC)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:KELLY
Last Name:LALONDE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2180 PFINGSTEN ROAD
Mailing Address - Street 2:3100
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026
Mailing Address - Country:US
Mailing Address - Phone:320-232-9502
Mailing Address - Fax:847-998-8551
Practice Address - Street 1:2180 PFINGSTEN RD
Practice Address - Street 2:3100
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1339
Practice Address - Country:US
Practice Address - Phone:847-866-7846
Practice Address - Fax:847-998-8551
Is Sole Proprietor?:No
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0960033742255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer