Nichole Rae Hanneken Ontis, MS, CCC-SLP - Speech-Language Pathologist in Roxana, IL

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Nichole Rae Hanneken Ontis, MS, CCC-SLP is a Speech-language Pathologist based in Roxana, Illinois. Nichole Rae Hanneken Ontis is licensed to practice in Illinois (license number 146010146) and her current practice location is 401 Chaffer Ave, Roxana, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 254-7369.

NPI number for Nichole Rae Hanneken Ontis is 1255835567 and her current mailing address is 401 Chaffer Ave, Roxana, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255835567.

Contact Information

Nichole Rae Hanneken Ontis, MS, CCC-SLP
401 Chaffer Ave,
Roxana, IL 62084-1125
(618) 254-7369
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNichole Rae Hanneken Ontis
GenderFemale
SpecialitySpeech-language Pathologist
Location401 Chaffer Ave, Roxana, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255835567
  • Provider Enumeration Date: 03/21/2018
  • Last Update Date: 03/21/2018

Medical Identifiers

Medical identifiers for Nichole Rae Hanneken Ontis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255835567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 146010146 (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. Nichole Rae Hanneken Ontis 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 AddressPractice Location Address
Nichole Rae Hanneken Ontis, MS, CCC-SLP
401 Chaffer Ave,
Roxana, IL 62084-1125

Ph: (618) 254-7369		Nichole Rae Hanneken Ontis, MS, CCC-SLP
401 Chaffer Ave,
Roxana, IL 62084-1125

Ph: (618) 254-7369

Reviews and Comments


Speech-Language Pathologist in Roxana, IL


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