Individual
KRISTIN OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 RAIDER WAY, BOLINGBROOK, IL 60440-4893
(630) 759-6400
Mailing address
22602 GRANITE DR, FRANKFORT, IL 60423-8979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/29/2019
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