Active NPI
Kaitlin McGreal
- Speech-Language Pathologist
- Tinley Park, IL
National Provider Identifier
1376918359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2420003456
- Practice address
- 7724 163Rd St
Tinley Park, IL 60477-1433 - Phone
- (708) 522-6455
- NPI assigned
- Dec 2, 2015
- 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 | 2420003456 | IL | Primary |
Addresses
Primary practice location
7724 163Rd St
Tinley Park, IL 60477-1433
Mailing address
7724 163Rd St
Tinley Park, IL 60477-1433
Phone (708) 522-6455
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 |
|---|---|---|---|
| 2420003456 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1376918359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7724 163RD ST",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771433",
"telephone_number": "708-522-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7724 163RD ST",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771433",
"telephone_number": "708-522-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREAL",
"first_name": "KAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "2420003456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.