Gloria Toy Rettke, MHS CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146007655 Issued in IL

Practice address

1354 W Fillmore St
Chicago, IL 60607-4807

Phone

(312) 315-5172

NPI assigned

Jun 28, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1013271659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 W FILLMORE ST",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074807",
            "telephone_number": "312-315-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 W FILLMORE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074807",
            "telephone_number": "312-315-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTKE",
        "first_name": "GLORIA",
        "middle_name": "TOY",
        "credential": "MHS CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anna Rettig
• Mateya Rettig, PT, DPT
• Hilary Rettrey
• Michelle Retzlaff, M.A., CCC-SLP
• Bruce Michael Reuben, D.D.S., M.S.
• Daniel Oliver Reuben, DO
• Danielle Elyse Reuben, MD

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.