Most Relevant Information
Provider Data
| NPI Number: | 1003381179 |
| Provider Name: | KYLA NIKOL BUNCH M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146.013426 |
Most Important Dates
| Enumeration Date: | 10/04/2018 |
| Last Updated: | 10/04/2018 |
Provider Practice Location
2171 W EXECUTIVE DR
ADDISON
IL
601015625
Practice Location Phone/Fax
| Phone: | 6307660505 |
| Fax: |
Provider Mailing Location
1224 W 72ND PL
CHICAGO
IL
606364124
Provider Mailing Phone/Fax
| Phone: | 7738955113 |
| Fax: |