Maureen Laneal Kidd

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.004556 Issued in IL

Practice address

1 S Cass Ave
Westmont, IL 60559-1893

Phone

(630) 673-5023

Fax

(630) 515-4849

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maureen Laneal Former name

Electronic endpoints 1

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1265538771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591893",
            "telephone_number": "630-673-5023",
            "fax_number": "630-515-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591893",
            "telephone_number": "630-673-5023",
            "fax_number": "630-515-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "MAUREEN",
        "middle_name": "LANEAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004556",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.004556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkidd@maercker.org",
            "affiliation": "N",
            "endpointDescription": "DMA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 S Cass Ave",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605591893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "LANEAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramla Farooq Khan, MD
• Sana Khan, MSW: INTERN
• Usman Khan, M.D.
• Abraham Samir Kheireddin, PA-C
• Kyle Kibler, PT,DPT, CSCS
• Therese Anne Kielp, M.S.,CCC-A
• Kathleen Kilburg, MPT
• Justyna Kiluk, LPC - INTERN
• Kinetic Care LLC
• Ashley King, PTA

• Speech-Language Pathologist in Westmont, IL
• Providers in Westmont, 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 Jun 15, 2022; 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.