Mary Wirka Mantilla in Mundelein - Speech-language Pathologist
Mary Wirka Mantilla - NPI 1750472007
Mary Wirka Mantilla is a Speech-language Pathologist in Mundelein, Illinois. Mary Wirka Mantilla practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mary Wirka Mantilla is 1750472007. The last update date is 2007-07-08.
Mary Wirka Mantilla's current location address is 28601 Sky Crest Dr, Mundelein, Illinois. You can contact this provider via phone number 8475666885. The mailing address for Mary Wirka Mantilla is 28601 Sky Crest Dr, Mundelein, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Wirka Mantilla |
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Address | 28601 Sky Crest Dr, Mundelein, Illinois |
Phone Number | 8475666885 |
Fax Number | |
Sole Proprietor | N |
Credentials | SLP |
NPI Number Detail
NPI Number | 1750472007 |
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Provider Enumeration Date | 2006-09-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 28601 Sky Crest Dr |
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City | Mundelein |
State | Illinois (IL) |
Post Code | 600605307 |
Phone Number | 8475666885 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
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Taxonomy | 235Z00000X |
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identification code assigned to Mary Wirka Mantilla by the Centers for Medicare & Medicaid Services?
The Mary Wirka Mantilla has been issued the NPI (National Provider Identifier) 1750472007, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Wirka Mantilla?
The Mary Wirka Mantilla is situated at 28601 Sky Crest Dr, in the city of Mundelein, state of IL, with the zip code 600605307.
What is Mary Wirka Mantilla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Wirka Mantilla's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Mary Wirka Mantilla receive its 1750472007 assignment from the Centers for Medicare & Medicaid Services?
The Mary Wirka Mantilla was assigned its 1750472007 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date were the details pertaining to Mary Wirka Mantilla last refreshed?
The information related to the Mary Wirka Mantilla, including its address, specialty, and other relevant details, was last updated on 2007-07-08.