# MIGHTY KIDS PEDIATRIC THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548115660
- **Authorized official:** MRS. AUNDREA SKOULLOS CCC-SLP, CLC (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (847) 899-1030

## Contact information

- **Practice address:** 213 W INSTITUTE PL STE 210, CHICAGO, IL 60610-3196
- **Practice address phone:** (847) 242-1222
- **Mailing address:** 213 W INSTITUTE PL STE 210, CHICAGO, IL 60610-3196
- **Mailing address phone:** (847) 899-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2026
- **Last updated:** 03/03/2026
