Mary E. Eannace, M.A.,CCC-SLP

Speech-Language Pathologist · Palos Heights, IL

Individual Active NPI

NPI number 1053455303

Practice location

11950 S. Harlem
Suite 201-2
Palos Heights, IL 60463-2388
Phone
(708) 751-5004
Fax
(708) 371-0555

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NPI record

NPI
1053455303
Entity type
Individual (Type 1)
Enumeration date
February 19, 2007
Last updated
April 3, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 146000150 IL

Mailing address

11950 S Harlem Ave
Suite 201-2
Palos Heights, IL 60463-1150
Phone
(708) 751-5004
Fax
(708) 371-0555

About Mary Eannace

Mary E. Eannace, M.A.,CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 11950 S. Harlem, Suite 201-2, Palos Heights, IL 60463-2388. The NPI number 1053455303 was assigned on February 19, 2007 and the record was last updated on April 3, 2015.

Mary Eannace lists a license in the registry: #146000150 (IL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary E. Eannace, M.A.,CCC-SLP?

The NPI number is 1053455303.

What is the phone number of Mary Eannace?

The phone number listed for the practice location is (708) 751-5004.

Where is Mary Eannace located?

11950 S. Harlem, Suite 201-2, Palos Heights, IL 60463-2388.

What is the taxonomy code for Mary Eannace?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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