MR. MICHAEL J CLARKE (NPI# 1912064569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912064569 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL J CLARKE |
| Credential | MA-CCC. SLP |
| Practice Address |
1412 Landon Ave Winthrop Harbor IL 60096-1844 |
| Practice Telephone | 8473615530 |
| Practice Fax Number | 8478724817 |
| Mailing Telephone | 8473615530 |
| Mailing Fax Number | 8478724817 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | MC19430399P | IL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 34-154 | WI | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | UNITED HEALTHCARE | 481943 CLA | 01 |
| IL | BLUE CROSS BLUE SHIELD | 04927751 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219267 | Michael Alan Clarke Jr. | Counselor | 2603 Bridgeport Way W Ste D, University Place, WA 98466-4724 | 2017-07-27 |
| 1467901553 | Michael Kevin Clarke | Counselor | 1600 Lena St Ste C16, Santa Fe, NM 87505-4339 | 2016-09-29 |
| 1669838736 | Michael Henry Clarke | Physical Therapist | 17325 Bell North Dr., Suite 2-b, Shertz, TX 78154 | 2016-01-05 |
| 1801134291 | Michael Timothy Clarke | Chiropractor | 6705 W 41st St, Sioux Falls, SD 57106-1290 | 2013-01-21 |
| 1619065133 | Michael Andrew Clarke | Dentist | 31 E Lanikaula St, Suite B, Hilo, HI 96720-4362 | 2006-10-10 |
| 1316908296 | Michael Ellsworth Clarke | Oral & Maxillofacial Surgery | 24 N Church St, #206, Wailuku, HI 96795 | 2006-03-30 |
| 1609874569 | Michael S Clarke | Specialist | 3150 S National Ave, Springfield, MO 65807-7301 | 2005-07-13 |
| 1871598805 | Michael T Clarke | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 | 2005-06-16 |
| 1659992923 | Michael J Clarke | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-28 |
| 1720632821 | Michael William Clarke II | Behavior Technician | 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 | 2019-07-26 |
| Street Address |
1412 LANDON AVE |
| City | WINTHROP HARBOR |
| State | IL |
| Zip Code | 60096-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831332469 | Winthrop Harbor School District #1 | Local Education Agency (LEA) | 500 North Ave, Winthrop Harbor, IL 60096-1186 | 2009-04-13 |
| 1720501380 | Lion Grenader | Dentist | 644 Sheridan Rd # D, Winthrop Harbor, IL 60096-1350 | 2017-07-25 |
| 1306853429 | Winthrop Harbor Dental Center | Dentist | 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350 | 2006-08-02 |
| 1427071828 | Michael A. Damko | Dentist | 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350 | 2006-07-26 |
| 1104171917 | Susan R. Davis Therapies, Inc. | Community/Behavioral Health | 3804 11th St, Winthrop Harbor, IL 60096-1461 | 2012-07-17 |
| 1952848756 | Joan Thornton | Licensed Practical Nurse | 743 Russell Ave, Winthrop Harbor, IL 60096-1544 | 2017-01-31 |
| 1871528133 | Village of Winthrop Hbr | Ambulance | 830 Sheridan Rd, Winthrop Harbor, IL 60096-1632 | 2006-07-12 |
| 1043219652 | Harbor Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 | 2005-07-15 |
| 1992844773 | Jackie Lynne Schilling | Pharmacist | 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 | 2007-02-06 |
| 1013056605 | Louis M. Abboud | Pharmacist | 1707 7th St, Winthrop Harbor, IL 60096-1656 | 2007-02-06 |
| Find all providers in zip 60096 | ||||
| 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 |
| 1194326363 | Cheryl Clemens | Speech-Language Pathologist | 105 Clubhouse Pl, Mount Carmel, IL 62863-2711 | 2020-11-04 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1942809231 | Progress To Success Speech Therapy Pllc | Speech-Language Pathologist | 4940 Wilderness Pt, Smithton, IL 62285-3664 | 2020-10-19 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1295332617 | Rachel Raffalo | Speech-Language Pathologist | 1050 S Euclid Ave, Elmhurst, IL 60126-5169 | 2020-10-08 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1255938908 | Norma Laura Gregorio-perez | Speech-Language Pathologist | 1601 E Main St # G, St Charles, IL 60174-2431 | 2020-10-06 |
| 1073110227 | Erin Koester | Speech-Language Pathologist | 633 County Highway 22, Cowden, IL 62422-4104 | 2020-10-01 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WINTHROP HARBOR |
| Zip Code | 60096 |
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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.