Organization Active NPI

Mary a. Crum Inc.

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1962531962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MARY A. CRUM INC.
Practice address
3447 N Seeley Ave
Chicago, IL 60618-6113
Phone
(773) 550-6987
Fax
(773) 244-1364
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary A Crum, MA CCC SLPL
Title
Speech Pathologist
Phone
(773) 550-6987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X IL Primary

Addresses

Primary practice location

3447 N Seeley Ave
Chicago, IL 60618-6113

Mailing address

3447 N Seeley Ave
Chicago, IL 60618-6113
Phone (773) 550-6987

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962531962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 N SEELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186113",
            "telephone_number": "773-550-6987",
            "fax_number": "773-244-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 N SEELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186113",
            "telephone_number": "773-550-6987",
            "fax_number": "773-244-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY A. CRUM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "773-550-6987",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CCC SLPL"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "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 Aug 22, 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.