Provider Demographics
NPI:1669595286
Name:CZARNIK, KAREN ANN (CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:CZARNIK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7906 W 97TH PL
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-2309
Mailing Address - Country:US
Mailing Address - Phone:708-599-6983
Mailing Address - Fax:773-298-3007
Practice Address - Street 1:7906 W 97TH PL
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2309
Practice Address - Country:US
Practice Address - Phone:708-599-6983
Practice Address - Fax:773-298-3007
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist