Tonya A Alcorn, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Lombard, IL
NPI 1215149802 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215149802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1025 S Westmore Avenue
# 204
Lombard, IL 60148 - Phone
- (630) 340-1629
- NPI assigned
- May 4, 2007
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.006464 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
1025 S Westmore Avenue
# 204
Lombard, IL 60148
Mailing address
P.O. Box 6483
Villa Park, IL 60181
Phone (630) 340-1629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002233085 | Other | IL | BLUE CROSS BLUE SHIELD |
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- Monica Aldulescu
- Jasmin Aleman
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- Ahmed Ali
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All providers in Lombard, 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 8, 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.