Active NPI
Brooke Marshall, MA., CCC-SLP
- Speech-Language Pathologist
- Westmont, IL
National Provider Identifier
1104456094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.014733
- Practice address
- 750 Pasquinelli Dr Ste 204
Westmont, IL 60559-1291 - Phone
- (630) 560-0136
- NPI assigned
- Jan 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.014733 | IL | Primary |
Addresses
Primary practice location
750 Pasquinelli Dr Ste 204
Westmont, IL 60559-1291
Mailing address
842 E Old Willow Rd Apt 207
Prospect HTS, IL 60070-2119
Phone (815) 861-3536
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.014733 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1104456094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 E OLD WILLOW RD APT 207",
"city": "PROSPECT HTS",
"state": "IL",
"postal_code": "600702119",
"telephone_number": "815-861-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 PASQUINELLI DR STE 204",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591291",
"telephone_number": "630-560-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "BROOKE",
"credential": "MA., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.014733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.