Mary Patricia Henke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.002046 Issued in IL

Practice address

850 Highland Grove Dr
Buffalo Grove, IL 60089-1549

Phone

(847) 955-3621

Fax

(847) 215-3268

NPI assigned

Dec 11, 2017

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1194230284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 W SPRUCE DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735255",
            "telephone_number": "847-732-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HIGHLAND GROVE DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891549",
            "telephone_number": "847-955-3621",
            "fax_number": "847-215-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.002046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Heggen, MD
• Mara Heichman, OTR/L
• Erika Heisen
• M Bill Hellyer, MS, OTR/L
• Elaine Hengstler
• Raymona Tsuya Herbrick, RPT
• Ronald G Hernandez Jr., DC
• Sherisa Renata Herran
• Michael Jay Hersh, MD
• Brian A Hicks, DDS

• Speech-Language Pathologist in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Dec 11, 2017; 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.