Provider Demographics
NPI:1083999494
Name:TENGEL, KATHRYN LINDSAY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LINDSAY
Last Name:TENGEL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:OGLESBEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:5754 N ROGERS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5955
Mailing Address - Country:US
Mailing Address - Phone:847-738-0771
Mailing Address - Fax:773-997-1059
Practice Address - Street 1:5754 N ROGERS AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5955
Practice Address - Country:US
Practice Address - Phone:847-738-0771
Practice Address - Fax:773-997-1059
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.011216235Z00000X
IL242.001910235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist