DR. RENEE MARIE REILLY (NPI# 1730196411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730196411 |
| Entity Type | Individual |
| Full Name | DR. RENEE MARIE REILLY |
| Credential | PH.D., CCC/SLP |
| Practice Address |
1662 W Edgewater Ave Chicago IL 60660-4016 |
| Practice Telephone | 7733344962 |
| Mailing Telephone | 7733344962 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER # | 0001635128 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851826903 | Renee Reilly | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2017-04-26 |
| Street Address |
1662 W EDGEWATER AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| 1144837840 | Paige Avery Cianciolo | Speech-Language Pathologist | 1700 W 83rd St, Chicago, IL 60620-4621 | 2020-09-26 |
| 1558975565 | Leela A Rao | Speech-Language Pathologist | 1140 S Wabash Ave Apt 1609, Chicago, IL 60605-2330 | 2020-09-08 |
| 1457960155 | Anant Kaur Shergill | Speech-Language Pathologist | 3729 N Oakley Ave Unit 1, Chicago, IL 60618-4812 | 2020-07-28 |
| 1689283608 | Jamie Lynn Payne | Speech-Language Pathologist | 600 W Roosevelt Rd Ste 2e, Chicago, IL 60607-4912 | 2020-07-26 |
| 1144839242 | Shana Birger | Speech-Language Pathologist | 942 W Sheridan Rd Apt 3a, Chicago, IL 60613-6487 | 2020-07-24 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.