Organization
INDEPENDENT PROVIDER
Active
Organization
INDEPENDENT PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MOLONEY M.S. CF-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(773) 759-2403
Entity
Organization
Contact information
Practice address
3800 W 106TH ST, CHICAGO, IL 60655-3815
(773) 759-2403
Mailing address
3800 W 106TH ST, CHICAGO, IL 60655-3815
(773) 759-2403
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
242003723
IL
Other
Enumeration date
05/15/2016
Last updated
05/15/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up