Maureen Rose Gardner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9254 S Ridgeway Ave
Evergreen Park, IL 60805-1423

Phone

(708) 738-7071

NPI assigned

Jan 8, 2024

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1649040718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9254 S RIDGEWAY AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9254 S RIDGEWAY AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051423",
            "telephone_number": "708-738-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MAUREEN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M. Gabriel, M.D.
• Colleen T. Gaffney, DDS
• Meghan E Gaffney, DDS
• Mario M. Gallo, PH.D.
• Vanessa Elizabeth Galloway, MSN, APRN, FNP-BC
• Gel M Gowin,Inc.
• Genharp Telehealth Solutions
• Gerald a Cahill MD SC
• Georgianne M Gerber, LCSW
• Sierra Gibson, LCPC

• Speech-Language Pathologist in Evergreen Park, IL
• Providers in Evergreen Park, 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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.