Mary T Lake in Oak Forest - Speech-language Pathologist
Mary T Lake - NPI 1821203100
Mary T Lake is a Speech-language Pathologist in Oak Forest, Illinois. Mary T Lake practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mary T Lake is 1821203100. The last update date is 2007-07-08.
Mary T Lake's current location address is 15700 Terrace Dr # P102, Oak Forest, Illinois. You can contact this provider via phone number 7087174924 and fax number 8154648431. The mailing address for Mary T Lake is 15700 Terrace Dr # P102, Oak Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary T Lake |
|---|---|
| Address | 15700 Terrace Dr # P102, Oak Forest, Illinois |
| Phone Number | 7087174924 |
| Fax Number | 8154648431 |
| Sole Proprietor | Y |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1821203100 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15700 Terrace Dr # P102 |
|---|---|
| City | Oak Forest |
| State | Illinois (IL) |
| Post Code | 604522959 |
| Phone Number | 7087174924 |
| Fax Number | 8154648431 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary T Lake by the Centers for Medicare & Medicaid Services?
The Mary T Lake has been issued the NPI (National Provider Identifier) 1821203100, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary T Lake is physically located?
The Mary T Lake is situated at the following address: 15700 Terrace Dr # P102, Oak Forest, IL 604522959.
What is Mary T Lake's area of expertise and its corresponding taxonomy classification?
The Mary T Lake's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821203100 to Mary T Lake?
The Centers for Medicare & Medicaid Services originally issued the 1821203100 to Mary T Lake on 2007-05-11.
When was the information regarding Mary T Lake, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary T Lake, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.