Provider Demographics
NPI:1942924691
Name:KRYGSHELD, DANEEN (MHS, CFY-SLP/L)
Entity Type:Individual
Prefix:
First Name:DANEEN
Middle Name:
Last Name:KRYGSHELD
Suffix:
Gender:F
Credentials:MHS, CFY-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-3911
Mailing Address - Country:US
Mailing Address - Phone:708-906-1185
Mailing Address - Fax:
Practice Address - Street 1:18300 GREENBAY AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3009
Practice Address - Country:US
Practice Address - Phone:708-474-4868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist