Provider Demographics
NPI:1952566630
Name:ROSKI, KATHRYN A (CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:ROSKI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 N LINCOLN PARK W
Mailing Address - Street 2:6J
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4780
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2020 N LINCOLN PARK W
Practice Address - Street 2:6J
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-4780
Practice Address - Country:US
Practice Address - Phone:563-508-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009907235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist