Active NPI
Madeline E. Manske, SLP
- Speech-Language Pathologist
- Oak Lawn, IL
National Provider Identifier
1104552561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146017290
- Practice address
- 4440 W 95TH St
Oak Lawn, IL 60453-2600 - Phone
- (630) 247-4425
- NPI assigned
- Jul 28, 2022
- Last updated
- Oct 28, 2024
- 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 | 146017290 | IL | Primary |
Addresses
Primary practice location
4440 W 95TH St
Oak Lawn, IL 60453-2600
Mailing address
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (630) 247-4425
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146017290 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1104552561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532600",
"telephone_number": "630-247-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532600",
"telephone_number": "630-247-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSKE",
"first_name": "MADELINE",
"middle_name": "E.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146017290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
- Amr Mannaa
- Sarah Tierney Manning, PA-C
- Scherry Manning
- Manor Care of Oak Lawn (East) Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Oak Lawn East))
- Manor Care of Oak Lawn (West) Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Oak Lawn West))
- Sheena Agarwal Mansukhani, D.O.
- Lifang Mao, MD
- Sonja Marcic, MD
- Ahmad Mardini
- Thomas M. Mareing, D.DS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.