Kerry Marmozewicz, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.013428 Issued in IL

Practice address

310 S Main St Ste D
Lombard, IL 60148-2692

Phone

(630) 652-0200

NPI assigned

Mar 10, 2023

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Speech and Language Disorders

  • Speech-Language Pathologist
  • Elmhurst, IL
  • NPI 1477602548
  NPD (past)

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1508567207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 N BROADWAY ST APT 4F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401733",
            "telephone_number": "708-826-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MAIN ST STE D",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482692",
            "telephone_number": "630-652-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOZEWICZ",
        "first_name": "KERRY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junaid N Mansuri, M.D.
• Joseph Marcuccilli, DO
• Holly Jean Mareski, LCSW, CADC
• West Marinier
• Jeffrey John Markett, D.D.S.
• Madeline Marshall
• Halle Marten
• Daniel B Martinez, M.D.
• Sarah Ryan Martinez, LCPC
• Matthew A Marzullo, ATC

• Speech-Language Pathologist in Lombard, IL
• Providers in Lombard, 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 Mar 10, 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.