Diane Meck Eisenberg
Individual provider Active NPI Speech-Language Pathologist · Villa Park, IL
NPI 1164527982 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1164527982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 830 S Addison Ave
Villa Park, IL 60181-2877 - Phone
- (630) 620-4433
- Fax
- (630) 620-1148
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-003013 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
830 S Addison Ave
Villa Park, IL 60181-2877
Mailing address
830 S Addison Ave
Villa Park, IL 60181-2877
Phone (630) 620-4433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 652606847001 | Medicaid | IL |
Other names
- Diane Meck
Other providers in Villa Park, IL
- Jessica Marie Drake-Simmons
- Kendall Dufek
- Dupage High School District 88
- Easter Seals Dupage and the Fox Valley Region
- Easter Seals Dupage and the Fox Valley Region
- Cynthia Erdos
- Jennifer B. Everett
- Hinna Fatani
- Melissa Finley
- Jaime Lynn Fischer
All providers in Villa Park, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.