NPIMap

Allison Marie Alexander, SLP

Individual provider Active NPI Speech-Language Pathologist · Countryside, IL

NPI 1225644149 · NPPES record last updated Aug 11, 2021

Key facts

NPI
1225644149
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242005871 (IL)
Practice address
9649 W 55TH St
Countryside, IL 60525-3699
Phone
(708) 352-3580
Fax
(708) 352-2715
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

  • Helping Hand Center Developmentally Disabled Services Day Training Agency · Countryside, IL · NPI 1356560890
    NPD SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
242005871ILMDSpeech-Language Pathologist
242.005871ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hand Center Speech-Language Pathologist Current
since Sep 14, 2021		 Accepting new patients

Locations

9649 W 55th St
Countryside, IL 60525
Phone (708) 352-3580

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 242.005871 IL
Speech-Language Pathologist 235Z00000X 242005871 IL Yes

Addresses

Primary practice location

9649 W 55TH St
Countryside, IL 60525-3699

Mailing address

241 S Orchard Dr
Bolingbrook, IL 60440-2660
Phone (708) 860-1495

Other providers in Countryside, IL

All providers in Countryside, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.