Miss Ivanka Magdalyna Northrop, CF-SLP | |
830 S Addison Ave, Villa Park, IL 60181-2877 | |
(630) 620-4433 | |
Not Available |
Full Name | Miss Ivanka Magdalyna Northrop |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 830 S Addison Ave, Villa Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336921311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 242.007279 (Illinois) | Primary |
Provider Name | Illinois Speech Pathology, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013623438 PECOS PAC ID: 5193190353 Enrollment ID: O20230331002243 |
Mailing Address | Practice Location Address |
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Miss Ivanka Magdalyna Northrop, CF-SLP 14 S George St, Mount Prospect, IL 60056-3426 Ph: (847) 830-2513 | Miss Ivanka Magdalyna Northrop, CF-SLP 830 S Addison Ave, Villa Park, IL 60181-2877 Ph: (630) 620-4433 |
Stephanie Stimson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Junilane Lusung, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 South Addison Avenue, Villa Park, IL 60181 Phone: 630-620-4433 | |
Jihyun Jung, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Mrs. Susan E Moran, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1250 S Ardmore Ave, Villa Park, IL 60181 Phone: 630-530-3680 | |
Diane Meck Eisenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Anne O'dowd, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Jamie Ann Bodden, M.S.CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 |