Active NPI
Mary Greco, M.S., CCC-SLP/L
- Speech-Language Pathologist
- Algonquin, IL
National Provider Identifier
1285065037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.001230
- Practice address
- 703 Surrey LN
Algonquin, IL 60102-2014 - Phone
- (847) 840-9432
- NPI assigned
- Dec 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.001230 | IL | Primary |
Addresses
Primary practice location
703 Surrey LN
Algonquin, IL 60102-2014
Mailing address
703 Surrey LN
Algonquin, IL 60102-2014
Phone (847) 840-9432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.001230 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1285065037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 SURREY LN",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601022014",
"telephone_number": "847-840-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 SURREY LN",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601022014",
"telephone_number": "847-840-9432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.001230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.