Active NPI
Marilyn Kay Spalla, M.ED.
- Contractor
- Chicago, IL
National Provider Identifier
1003061896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2244762 ; 2359916
- Practice address
- 5259 S Nordica Ave
Chicago, IL 60638-1015 - Phone
- (773) 339-3876
- NPI assigned
- Nov 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 2244762 ; 2359916 | IL | Primary |
Addresses
Primary practice location
5259 S Nordica Ave
Chicago, IL 60638-1015
Mailing address
5259 S Nordica Ave
Chicago, IL 60638-1015
Phone (773) 339-3876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2244762 ; 2359916 | IL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1003061896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5259 S NORDICA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606381015",
"telephone_number": "773-339-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5259 S NORDICA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606381015",
"telephone_number": "773-339-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPALLA",
"first_name": "MARILYN",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "2244762 ; 2359916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.