MR. MICHAEL J CLARKE


Address: 1412 Landon Ave, Winthrop Harbor, IL 60096-1844
Phone: 8473615530

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL UNITED HEALTHCARE 481943 CLA 01
IL BLUE CROSS BLUE SHIELD 04927751 01

Other Providers MICHAEL CLARKE

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

Office Location

Street Address 1412 LANDON AVE
City WINTHROP HARBOR
State IL
Zip Code 60096-1844

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City WINTHROP HARBOR
Zip Code 60096

Improve Information

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Dataset Information

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.

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