Magaly E Marrero, M.S.
Individual provider Active NPI Speech-Language Pathologist · Clarendon Hills, IL
NPI 1760611669 · NPPES record last updated Jul 13, 2009
Key facts
- NPI
- 1760611669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.009175 (IL)
- Practice address
- 348 55TH St
Clarendon Hills, IL 60514-3015 - Phone
- (787) 362-8887
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009175 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.009175 | IL | Yes |
Addresses
Primary practice location
348 55TH St
Clarendon Hills, IL 60514-3015
Mailing address
833 W Buena Ave
Apt 2009
Chicago, IL 60613-6600
Phone (773) 244-9838
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All providers in Clarendon Hills, 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 Jul 13, 2009. 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.