Active NPI
Mary Stefely, M.A., CCC-SLP
- Speech-Language Pathologist
- Mount Prospect, IL
National Provider Identifier
1518096049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146001426
- Practice address
- 908 Greenfield CT
Mount Prospect, IL 60056-1365 - Phone
- (847) 997-8724
- NPI assigned
- Mar 2, 2007
- 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 | 146001426 | IL | Primary |
Addresses
Primary practice location
908 Greenfield CT
Mount Prospect, IL 60056-1365
Mailing address
908 Greenfield CT
Mount Prospect, IL 60056-1365
Phone (847) 997-8724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001606362 | Other | IL | BCBSIL |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146001426 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1518096049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 GREENFIELD CT",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561365",
"telephone_number": "847-997-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 GREENFIELD CT",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600561365",
"telephone_number": "847-997-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFELY",
"first_name": "MARY",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2021-01-14",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146001426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "0001606362",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.