Provider Demographics
NPI:1457950339
Name:KOLKER RYCHEL, ANN MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:KOLKER RYCHEL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:KOLKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:27W644 GALUSHA AVE
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3213
Mailing Address - Country:US
Mailing Address - Phone:630-777-1269
Mailing Address - Fax:
Practice Address - Street 1:2021 MIDWEST RD STE 200
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1370
Practice Address - Country:US
Practice Address - Phone:630-435-5622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.014380235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist