Active NPI
Annette Kathleen Marshall, SLP
- Speech-Language Pathologist
- Waukegan, IL
National Provider Identifier
1295954196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146008588
- Practice address
- 1201 N Sheridan Rd
Waukegan, IL 60085-2081 - Phone
- (224) 303-1000
- Fax
- (224) 399-8581
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 146008588 | IL | Primary |
Addresses
Primary practice location
1201 N Sheridan Rd
Waukegan, IL 60085-2081
Mailing address
7567 Melon CT
Gurnee, IL 60031-5618
Phone (773) 454-2157
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146008588 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Therapy & Consultation, Inc. | Past | Accepting new patients |
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.
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- Orland Park, IL
- NPI 1982633715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1295954196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7567 MELON CT",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315618",
"telephone_number": "773-454-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N SHERIDAN RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852081",
"telephone_number": "224-303-1000",
"fax_number": "224-399-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ANNETTE",
"middle_name": "KATHLEEN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146008588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.