Mary Beth Ann Walsh

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.002200 Issued in IL

Practice address

348 55TH St
Clarendon Hills, IL 60514-3015

Phone

(630) 670-0901

Fax

(630) 654-4619

NPI assigned

Sep 22, 2017

Last updated

Sep 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Maribeth Ann Walsh Other name

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1215446125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 CAMELOT LN",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398530",
            "telephone_number": "630-863-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 55TH ST",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605143015",
            "telephone_number": "630-670-0901",
            "fax_number": "630-654-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARY BETH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.002200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBETH",
            "last_name": "WALSH",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joy Viray
• Danielle Marie Vlach, LMT
• Ann E Vogel, MD
• Katarzyna J Volmir
• W B Hamel III DDS PC
• Tracy Wheeler
• Kristin Elizabeth Wiklund, MS, CCC-SLP
• John Peter Wortel, DDS
• Kerry Woss, D.O.

• Speech-Language Pathologist in Clarendon Hills, IL
• Providers in Clarendon Hills, 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 Sep 22, 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.