Mary Kathleen Smerecky
Individual provider Active NPI Speech-Language Pathologist · Johnsburg, IL
NPI 1477069441 · NPPES record last updated Dec 28, 2017
Key facts
- NPI
- 1477069441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 2220 Church St
Johnsburg, IL 60051-5910 - Phone
- (815) 385-6210
- NPI assigned
- Dec 28, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
2220 Church St
Johnsburg, IL 60051-5910
Mailing address
1575 Birmingham LN
Crystal Lake, IL 60014-1912
Other providers in Johnsburg, IL
- Shamari Counseling and Mentoring
- Matthew David Sierzega
- Christine Silvestri
- Antoinette Simek
- Bryan Nicholas Simmon
- Stephanie M Smith
- Mackie A Snebold
- Michelle Speer
- Elizabeth Sweno
- The McHenry Dentist
All providers in Johnsburg, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.