Nicole Ann Mariano

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.006984 Issued in IL

Practice address

6850 31St St
Berwyn, IL 60402-3058

Phone

(708) 795-2322

NPI assigned

May 28, 2019

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1427615178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 N HALSTED ST APT CH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145556",
            "telephone_number": "909-553-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 31ST ST",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023058",
            "telephone_number": "708-795-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.006984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krzysztof Malewicz, CRNA
• Michael R Maloney, B.A.
• Amandev Mangat, DDS
• Crystal Manjarrez, LPC
• Hugh Marchmont-Robinson, D.D.S, S.C
• Hector Marin
• Mario Serrano DDS & Sara Vafa DMD P.C. (Morton Family Dental of Berwyn)
• Marius-Nunez Medical Group S C
• Andres Luis Marius-Nunez, M.D.
• Hanna Markewycz, MD

• Speech-Language Pathologist in Berwyn, IL
• Providers in Berwyn, 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 Feb 21, 2023; 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.