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NPI Code Detail

MEDICARE: MICHAEL JOHN NEARY JR. M.S., CCC-SLP

MEDICARE:   MICHAEL JOHN NEARY JR. M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistIL

General Provider Information

NPI Number : 1740474923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOHN NEARY JR. M.S., CCC-SLP
Provider Business Mailing Address
First Line : 1301 W MADISON ST
Second Line : #512
City : CHICAGO
State : IL
Zip : 60607-1936
Country : US
Telephone Number : 312-850-3128
Fax Number :
Provider Business Practice Location Address
First Line : 1301 W MADISON ST
Second Line : #512
City : CHICAGO
State : IL
Zip : 60607-1936
Country : US
Telephone Number : 312-850-3128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2007
Last Update Date : 08/30/2007

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Directions to “ MICHAEL JOHN NEARY JR. M.S., CCC-SLP” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.