Individual provider Active NPI

Mary Jane Rattner, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Vernon Hills, IL
National Provider Identifier
1740619618
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.003595 Issued in IL
Practice address
200 N Fairway Dr
Suite 208
Vernon Hills, IL 60061-1861
Phone
(847) 996-6666
Fax
(847) 996-6665
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.003595 IL Primary

Addresses

Primary practice location

200 N Fairway Dr
Suite 208
Vernon Hills, IL 60061-1861

Mailing address

85 Sussex Cir
Vernon Hills, IL 60061-2938
Phone (847) 840-6095

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

LicenseStateTypeSpecialty
146.003595ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1740619618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SUSSEX CIR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600612938",
            "telephone_number": "847-840-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N FAIRWAY DR",
            "address_2": "SUITE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611861",
            "telephone_number": "847-996-6666",
            "fax_number": "847-996-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTNER",
        "first_name": "MARY JANE",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.003595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.