Marcelina Alvarez

Individual provider Active NPI Speech-Language Pathologist · Lyons, IL

NPI 1942729520 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1942729520
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
4204 Rose Ave
Lyons, IL 60534
Phone
(708) 724-9070
NPI assigned
Sep 14, 2017
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

4204 Rose Ave
Lyons, IL 60534

Mailing address

4204 Rose Ave
Lyons, IL 60534-1055
Phone (708) 724-9070

Other providers in Lyons, IL

All providers in Lyons, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.