Healthcare Provider Details

I. General information

NPI: 1952211724
Provider Name (Legal Business Name): DONNA MARIE BARRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 RECKINGER RD
AURORA IL
60505-1628
US

IV. Provider business mailing address

513 ILLINOIS ST
ST CHARLES IL
60174-2751
US

V. Phone/Fax

Practice location:
  • Phone: 630-299-8300
  • Fax:
Mailing address:
  • Phone: 630-207-4662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1913918
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: