Scott Maguire
Individual provider Active NPI Speech-Language Pathologist · Worth, IL
NPI 1891201265 · NPPES record last updated Dec 21, 2017
Key facts
- NPI
- 1891201265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 11000 S Oketo Ave
Worth, IL 60482-1009 - Phone
- (708) 671-5865
- NPI assigned
- Dec 21, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
11000 S Oketo Ave
Worth, IL 60482-1009
Mailing address
11000 S Oketo Ave
Worth, IL 60482-1009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235Z00000X | Medicaid | IL |
Other providers in Worth, IL
- Paulina Kaczmarczyk
- Howard M Lichtenstein
- Octavio Menelao Lopez
- Roselin Tojen Lukose
- Joy Maclean
- Jennifer Marshall
- Veronica Martinez
- Hala Mashni
- Sana A Matarieh
- Mbw700
All providers in Worth, 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 Dec 21, 2017. 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.