KELLY WALLNER
NPI 1780296053
Speech-Language Pathologist in Park Ridge, IL

Active since August 18, 2020
1001 S FAIRVIEW AVE, PARK RIDGE, IL 60068(847) 318-4235 Get Directions Write a Review

NPPES record last updated: March 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2023, Jan 20, 2022, Aug 18, 2020 (3 updates tracked since 2020).

About Kelly Wallner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY WALLNER (NPI 1780296053) is an individual speech-language pathologist provider in Park Ridge, Illinois, licensed in Illinois (146.016037) and active in the NPI registry since August 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780296053
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY WALLNER
Location Address1001 S FAIRVIEW AVEPark Ridge, IL 60068-4712
Mailing Address3424 Hollywood AveBrookfield, IL 60513-1702 · (708) 250-9181
Sole ProprietorYes
Enumeration DateAugust 18, 2020
Last NPPES UpdateMarch 26, 20233 updates tracked since enumeration
NPPES CertifiedMarch 26, 2023
NPI 1780296053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in IL · 146.016037
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1001 S FAIRVIEW AVE, Park Ridge, IL 60068

Secondary Practice Locations 2

Location 1550 W Saint Charles RdElmhurst, IL 60126-3038 · Phone (815) 469-1500
Location 218 N Catherine AveLA Grange, IL 60525-5930 · Phone (708) 482-9453

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (School)
1001 S FAIRVIEW AVE
PARK RIDGE, IL 60068
Psychologist (School)
1001 S FAIRVIEW AVE
PARK RIDGE, IL 60068
Speech-Language Pathologist
1001 S FAIRVIEW AVE
PARK RIDGE, IL 60068
Speech-Language Pathologist
1001 S FAIRVIEW AVE
PARK RIDGE, IL 60068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wallner's NPI number?

The NPI number for Kelly Wallner is 1780296053. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Kelly Wallner located?

Kelly Wallner practices at 1001 S Fairview Ave, Park Ridge, IL 60068. The listed phone number is (847) 318-4235.

What is Kelly Wallner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Wallner was last updated on March 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.