Provider Demographics
NPI:1942399787
Name:MCELHENNEY, RISE MICHELE (MA CCCSLP)
Entity Type:Individual
Prefix:MISS
First Name:RISE
Middle Name:MICHELE
Last Name:MCELHENNEY
Suffix:
Gender:F
Credentials:MA CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24979 WEST ORCHARD PLACE
Mailing Address - Street 2:
Mailing Address - City:ROUND LAKE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60073
Mailing Address - Country:US
Mailing Address - Phone:847-546-5093
Mailing Address - Fax:
Practice Address - Street 1:41412 N HIGHWAY 83
Practice Address - Street 2:STE 102
Practice Address - City:ANTIOCH
Practice Address - State:IL
Practice Address - Zip Code:60002-1907
Practice Address - Country:US
Practice Address - Phone:847-740-2296
Practice Address - Fax:847-740-0125
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146006435235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist