Individual provider Active NPI

Mary H Parkolap, SLP CF

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1912552613
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.005561 Issued in IL
Practice address
1921 W Irving Park Rd
Chicago, IL 60613-2407
Phone
(312) 243-8487
NPI assigned
Aug 8, 2019
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 242.005561 IL Primary

Addresses

Primary practice location

1921 W Irving Park Rd
Chicago, IL 60613-2407

Mailing address

1921 W Irving Park Rd
Chicago, IL 60613-2407
Phone (630) 639-6033

Other practice location 1

144 Tanoak Ln
Naperville, IL 60540-7920
Phone (630) 639-6033

Other practice location 2

1409 W Carroll Ave
Chicago, IL 60607-1105
Phone (312) 733-0883

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

State licenses

LicenseStateTypeSpecialty
242.005561ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyas Landing, Inc. Speech-Language Pathologist Past Accepting new patients
Blue Bird Day LLC Speech-Language Pathologist PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1912552613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132407",
            "telephone_number": "630-639-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132407",
            "telephone_number": "312-243-8487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Tanoak Ln",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605407920",
            "country_code": "US",
            "telephone_number": "630-639-6033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1409 W Carroll Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606071105",
            "country_code": "US",
            "telephone_number": "312-733-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKOLAP",
        "first_name": "MARY",
        "middle_name": "H",
        "credential": "SLP CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.005561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.