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MRS. KELLY NICOLE BANASZAK
NPI 1891550604
Speech-Language Pathologist in Park Forest, IL

Active since February 20, 2024
242 S ORCHARD DR, PARK FOREST, IL 60466(940) 070-8668 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Nicole Banaszak NPPES

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

MRS. KELLY NICOLE BANASZAK (NPI 1891550604) is an individual speech-language pathologist provider in Park Forest, Illinois, licensed in Illinois (242.007647) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1891550604
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KELLY NICOLE BANASZAK
Location Address242 S ORCHARD DRPark Forest, IL 60466-2041
Mailing Address5470 Natalie DrOak Forest, IL 60452-2128 · (708) 738-0198
Phone(940) 070-8668
Sole ProprietorYes
Enumeration DateFebruary 20, 2024
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1891550604 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 · 242.007647
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.
242 S ORCHARD DR, Park Forest, IL 60466
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Other Names 1

Former Name (1)Ms. Kelly Nicole O'connor

Other Providers at the Same Location NPPES 2

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

PARK FOREST - CHICAGO HEIGHTS SCHOOL DISTRICT 163
Local Education Agency (LEA)
242 S ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 668-9402
JANET MOORE CCC-SP/L
Speech-Language Pathologist
242 S ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 668-9560

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 Banaszak's NPI number?

The NPI number for Kelly Banaszak is 1891550604. It was assigned to this individual provider in the NPPES registry on February 20, 2024. The provider is also known as Ms. Kelly Nicole O'connor.

Where is Kelly Banaszak located?

Kelly Banaszak practices at 242 S Orchard Dr, Park Forest, IL 60466. The listed phone number is (940) 070-8668.

What is Kelly Banaszak'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 Banaszak was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.