Mary E. Eannace, M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146000150 Issued in IL

Practice address

11950 S. Harlem
Suite 201-2
Palos Heights, IL 60463-2388

Phone

(708) 751-5004

Fax

(708) 371-0555

NPI assigned

Feb 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1053455303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AVE",
            "address_2": "SUITE 201-2",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631150",
            "telephone_number": "708-751-5004",
            "fax_number": "708-371-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 S. HARLEM",
            "address_2": "SUITE 201-2",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632388",
            "telephone_number": "708-751-5004",
            "fax_number": "708-371-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EANNACE",
        "first_name": "MARY",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146000150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indre Dukauskas
• Darlene Dunmore
• Mandy Dunne, LPC
• Robert J Dupuis, M.D.
• Megan C Dwyer, DO
• Ear Nose and Throat Associates S C
• William A. Earman Jr., D.O.
• Edward L Montwill OD, LTD.
• Amanda M Ejka, PSY.D.
• Kristen El-Amir, PA-C

• Speech-Language Pathologist in Palos Heights, IL
• Providers in Palos Heights, 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 Apr 3, 2015; 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.