Mary Kallal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146000719 Issued in IL

Practice address

275 W Dundee Rd
Buffalo Grove, IL 60089-3704

Phone

(847) 777-8995

NPI assigned

May 25, 2017

Last updated

May 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1801324520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 S CHESTNUT AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053150",
            "telephone_number": "847-392-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893704",
            "telephone_number": "847-777-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAL",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146000719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melita Vellian Joseph, PT, DPT
• Premal Joshipura, M.D., FAAEM
• Journey Works, LTD.
• Melinda Just, LSW
• Eduard Kalika, DN
• Daniel R. Kamen, D.C.
• Christy Kang
• Helen Kang
• Ashley Kangail, LCSW
• Cecily Anita Kanter, PSY.D

• Speech-Language Pathologist in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 May 25, 2017; 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.