KELLY DOUGHERTY (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1366504821

KELLY DOUGHERTY (M.S., CCC-SLP) is a healthcare provider. based in Highland park, Illinois. specializing in Speech-Language Pathologist. They hold the professional credentials M.S., CCC-SLP. They hold a License No. 146005478 (IL). The NPI Number for KELLY DOUGHERTY (M.S., CCC-SLP) is 1366504821

Main info

Female
Name
KELLY DOUGHERTY (M.S., CCC-SLP)
NPI
1366504821
Phone
(224) 765-3000
Address
1936 GREEN BAY RD
Enumeration Date
14 December 2006
Last Update Date
25 January 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY DOUGHERTY (M.S., CCC-SLP)

  • 1936, Green Bay Road, Downtown Highland Park, Highland Park, Lake County, Illinois, 60035, United States

    HIGHLAND PARK, IL 600353112

    Phone: (224) 765-3000

    Type: Location

  • 7639, Laramie Avenue, Skokie, Niles Township, Cook County, Illinois, 60077, United States

    SKOKIE, IL 600772836

    Phone: (847) 410-7004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60035)

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Frequently asked questions

How do I look up KELLY DOUGHERTY (M.S., CCC-SLP) by NPI?
Use NPI 1366504821 when you need to reference KELLY DOUGHERTY (M.S., CCC-SLP) in forms, claims, or directories.
Is KELLY DOUGHERTY (M.S., CCC-SLP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KELLY DOUGHERTY (M.S., CCC-SLP) treat or focus on?
Patients typically see KELLY DOUGHERTY (M.S., CCC-SLP) under the specialty Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where is KELLY DOUGHERTY (M.S., CCC-SLP)'s primary listing?
We display Highland Park, Illinois because that is what the record indicates for KELLY DOUGHERTY (M.S., CCC-SLP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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