Active NPI
Suzanne Katherine McLane, M.S. CCC-SLP
- Speech-Language Pathologist
- Grayslake, IL
National Provider Identifier
1366622763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146009007
- Practice address
- 33197 N Sears Blvd
Grayslake, IL 60030-2177 - Phone
- (847) 370-2177
- NPI assigned
- Nov 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 001814 | IA | |
| Speech-Language Pathologist | 235Z00000X | 146009007 | IL | Primary |
Addresses
Primary practice location
33197 N Sears Blvd
Grayslake, IL 60030-2177
Mailing address
33197 N Sears Blvd
Grayslake, IL 60030-2177
Phone (847) 370-2177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665711 | Medicaid | IA |
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 |
|---|---|---|---|
| 001814 | IA | MD | Speech-Language Pathologist |
| 146009007 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1366622763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33197 N SEARS BLVD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302177",
"telephone_number": "847-370-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33197 N SEARS BLVD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302177",
"telephone_number": "847-370-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLANE",
"first_name": "SUZANNE",
"middle_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "001814",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146009007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665711",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.