IndividualActive
Nichole Hanneken Ontis, M.S., CCC-SLP
NPI 1255835567 · Speech-Language Pathologist · Roxana, IL
Provider details
- NPI number
- 1255835567
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146010146 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
401 Chaffer Ave
Roxana, IL 62084-1125
Phone: (618) 254-7369
Approximate (ZIP-level) locationGet directions
Mailing address
401 Chaffer Ave
Roxana, IL 62084-1125
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2018-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.