Jackie A Marino, M.A. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6726 Fieldstone Dr
Burr Ridge, IL 60527-5297

Phone

(630) 321-1744

NPI assigned

Apr 21, 2011

Last updated

May 11, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1346531621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NEEDHAM RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633314",
            "telephone_number": "630-363-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 FIELDSTONE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275297",
            "telephone_number": "630-321-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JACKIE",
        "middle_name": "A",
        "credential": "M.A. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Manning, MD
• John F Marcinak, MD
• Charles J Marcuccilli, MD
• Margot McCloy Physical Therapy Inc
• Marina Home Healthcare
• Bharathi Marri, MD
• James Henry Martin, M.D.
• Julie Martin
• Ventzislava Martin, BCBA
• Christopher M Masi, MD

• Speech-Language Pathologist in Burr Ridge, IL
• Providers in Burr Ridge, 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 May 11, 2011; 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.