Healthcare Provider Details

I. General information

NPI: 1386520914
Provider Name (Legal Business Name): ANNA MARIE RIORDAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 W ADAMS ST # 60607
CHICAGO IL
60607-2801
US

IV. Provider business mailing address

3923 HOWARD AVE
WESTERN SPRINGS IL
60558-1213
US

V. Phone/Fax

Practice location:
  • Phone: 312-243-8487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: