Mrs Mary Kathryn Keli Henrekin, MS, CCC-SLP is a
Speech-language Pathologist based in Prophetstown, Illinois. Mrs Mary Kathryn Keli Henrekin is licensed to practice in Illinois (license number 146.010525) and her current practice location is
310 Mosher Dr, Prophetstown, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 537-5175.
NPI number for Mrs Mary Kathryn Keli Henrekin is 1639529886 and her current mailing address is 5027 Yorktown Rd, Prophetstown, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639529886.
Healthcare Provider's Profile
Full Name | Mrs Mary Kathryn Keli Henrekin |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 310 Mosher Dr, Prophetstown, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639529886
- Provider Enumeration Date: 06/20/2016
- Last Update Date: 06/20/2016
Medical Identifiers
Medical identifiers for Mrs Mary Kathryn Keli Henrekin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639529886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146.010525 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Kathryn Keli Henrekin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary Kathryn Keli Henrekin, MS, CCC-SLP 5027 Yorktown Rd, Prophetstown, IL 61277-9343 Ph: (309) 678-8598 | Mrs Mary Kathryn Keli Henrekin, MS, CCC-SLP 310 Mosher Dr, Prophetstown, IL 61277-1001 Ph: (815) 537-5175 |
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