| Miss Krista Nichole Wynkoop, MS CCC-SLP/L | |
|
1035 Madison St, Oak Park, IL 60302-4449 | |
| (708) 538-4408 | |
| Not Available |
| Full Name | Miss Krista Nichole Wynkoop |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1035 Madison St, Oak Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487051942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.011558 (Illinois) | Primary |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Krista Nichole Wynkoop, MS CCC-SLP/L 1035 Madison St, Oak Park, IL 60302-4449 Ph: () - | Miss Krista Nichole Wynkoop, MS CCC-SLP/L 1035 Madison St, Oak Park, IL 60302-4449 Ph: (708) 538-4408 |
Kelly Boris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 719 N Marion St, Oak Park, IL 60302 Phone: 312-401-0975 | |
Mrs. Anne Elizabeth Ciosek, M.A.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 260 Madison St, Oak Park, IL 60302 Phone: 708-524-3110 | |
Madeline S Kubiak, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 429 N Marion St Ste 203, Oak Park, IL 60302 Phone: 312-945-8305 | |
Abbey Blender, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 135 N Harvey Ave, Oak Park, IL 60302 Phone: 917-620-7916 | |
Ms. Julie Cameron, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 Chicago Ave, Oak Park, IL 60302 Phone: 708-524-1050 Fax: 708-524-2469 | |
Ics Rehab Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1104 N Taylor Ave, Oak Park, IL 60302 Phone: 708-519-0786 Fax: 708-386-4351 | |
Ms. Susan Jill Kupperman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 411 Chicago Ave, Oak Park, IL 60302 Phone: 708-524-1050 |