Healthcare Provider Details

I. General information

NPI: 1760263909
Provider Name (Legal Business Name): MARY KATHERINE BUCHHEIT MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15732 S HOWARD ST
PLAINFIELD IL
60544-2399
US

IV. Provider business mailing address

7771 FOX ST APT 2B
WOODRIDGE IL
60517-3211
US

V. Phone/Fax

Practice location:
  • Phone: 815-577-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242007535
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: