| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MCKAYLA KATHLEEN BALUN | 1629700034 | 2022-06-26 |
Mckayla Kathleen Balun is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629700034. Registration indicates Mckayla Kathleen Balun is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Mckayla Kathleen Balun |
| Practice Office Address | 850 BROOKFOREST AVE SHOREWOOD, IL US |
| Practice Office Telephone | 8154101404 |
| Mailing Address | 850 BROOKFOREST AVE SHOREWOOD, IL 604048513 US |
| Business Telephone | 8154101404 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers |