MARY T LAKE (NPI# 1821203100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821203100 |
| Entity Type | Individual |
| Full Name | MARY T LAKE |
| Credential | SLP |
| Practice Address |
15700 Terrace Dr # P102 Oak Forest IL 60452-2959 |
| Practice Telephone | 7087174924 |
| Practice Fax Number | 8154648431 |
| Mailing Telephone | 7087174924 |
| Mailing Fax Number | 8154648431 |
| Enumeration Date | 2007-05-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184161366 | Mary Yvonne Lake | Social Worker | 7407 Joseph St, Cincinnati, OH 45231-4437 | 2017-01-25 |
| 1326498767 | Mary Celeste Lake | Physical Therapist | 1635 21st St, Ogden, UT 84401-0908 | 2016-06-16 |
| 1972148344 | Mary Salmon Lake | Registered Nurse | 205 8th St, Hoquiam, WA 98550-2507 | 2019-11-08 |
| 1518037126 | Mary E. Lake | Psychiatry & Neurology | 2300 N Childrens Plz # 10, Chicago, IL 60614-3363 | 2006-11-09 |
| 1578671871 | Mary Alma Lake | Hospitalist | 1 Wellness Way, Suite B, Topsham, ME 04086-1768 | 2006-08-27 |
| Street Address |
15700 TERRACE DR # P102 |
| City | OAK FOREST |
| State | IL |
| Zip Code | 60452-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
| 1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
| 1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
| Find all providers in zip 60452 | ||||
| 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 |
|---|---|---|---|---|
| 1992359731 | Vicki Miller | Speech-Language Pathologist | 6535 Victoria Dr, Oak Forest, IL 60452-2659 | 2019-07-30 |
| 1073078127 | Gina Krilich | Speech-Language Pathologist | 4741 151st St Apt 103, Oak Forest, IL 60452-2424 | 2019-02-04 |
| 1922581594 | Melissa Lifka | Speech-Language Pathologist | 14950 Laramie Ave Rm 18, Oak Forest, IL 60452-1323 | 2018-09-10 |
| 1407361637 | Kimberly Ann Urban | Speech-Language Pathologist | 5800 151st St, Oak Forest, IL 60452-1940 | 2017-12-11 |
| 1033624119 | Noor Alzalam | Speech-Language Pathologist | 5931 School St, Oak Forest, IL 60452-1957 | 2017-12-11 |
| 1275048597 | Nicole E Koch | Speech-Language Pathologist | 5151 149th St, Oak Forest, IL 60452-1417 | 2017-12-08 |
| 1972017812 | Nora Kathleen Bryar | Speech-Language Pathologist | 17303 Central Ave, Oak Forest, IL 60452-4920 | 2017-11-30 |
| 1164936563 | Nancy Bugaieski | Speech-Language Pathologist | 6020 West 151st Street, Oak Forest, IL 60452-1899 | 2017-11-21 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1871014910 | Kelly Fino | Speech-Language Pathologist | 15305 Walnut Rd, Oak Forest, IL 60452-1539 | 2017-06-28 |
| Find all providers in OAK FOREST | ||||
| City | OAK FOREST |
| Zip Code | 60452 |
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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.