Joann L. Mack, M.S., CCC-SLP

Speech-Language Pathologist · Moline, IL

Individual Active NPI

NPI number 1225210917

Practice location

2925 28TH Avenue a
Moline, IL 61265-6924
Phone
(309) 762-7974

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NPI record

NPI
1225210917
Entity type
Individual (Type 1)
Enumeration date
December 4, 2007
Last updated
August 1, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 146.004703 IL

Mailing address

3571 8TH St
Moline, IL 61265-7157
Phone
(309) 236-3614

About Joann Mack

Joann L. Mack, M.S., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2925 28TH Avenue a, Moline, IL 61265-6924. The NPI number 1225210917 was assigned on December 4, 2007 and the record was last updated on August 1, 2014.

Joann Mack lists a license in the registry: #146.004703 (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 Joann L. Mack, M.S., CCC-SLP?

The NPI number is 1225210917.

What is the phone number of Joann Mack?

The phone number listed for the practice location is (309) 762-7974.

Where is Joann Mack located?

2925 28TH Avenue a, Moline, IL 61265-6924.

What is the taxonomy code for Joann Mack?

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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