Healthcare Provider Details

I. General information

NPI: 1558612838
Provider Name (Legal Business Name): MARGARET HUTSON-NECHKASH SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 GLENWOOD AVE
JOLIET IL
60435-5483
US

IV. Provider business mailing address

7040 BRIGHTON CT APT 102
WOODRIDGE IL
60517-2128
US

V. Phone/Fax

Practice location:
  • Phone: 815-725-9992
  • 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: