IndividualActive
Courtney Kachanuk, M.S. CCC-SLP
NPI 1053836502 · Speech-Language Pathologist · Canton, IL
Provider details
- NPI number
- 1053836502
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 146.012698 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1490 E Myrtle St
Canton, IL 61520-1519
Phone: (217) 622-9899
Approximate (ZIP-level) locationGet directions
Mailing address
5400 W Sienna Ln Apt 3201
Peoria, IL 61615-7860
Registry dates
- Enumerated
- 2017-08-06
- Last updated
- 2017-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.