Noor Al-Shrideh

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

NPI 1982329645 · NPPES record last updated Oct 5, 2022

Key facts

NPI
1982329645
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
1343 E 7TH St
Lockport, IL 60441-3823
Phone
(815) 838-8080
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lockport Area SP Ed Coop Past
since Oct 9, 2022
Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

1343 E 7TH St
Lockport, IL 60441-3823

Mailing address

6248 157TH St
Oak Forest, IL 60452-2708

Other providers in Lockport, IL

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

Sources for this page

Verify at the official NPI Registry.