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General NPI Number Information
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NPI Number | 1154297323
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Entity Type | Individual
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Provider Name | MARY ALICE MCNEICE MS-CCC-SLP/L
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 533 N ROY AVE
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City | NORTHLAKE
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State | IL
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Zip | 60164-1762
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Country | US
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Telephone | 847-451-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 710 S ARDMORE AVE
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City | VILLA PARK
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State | IL
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Zip | 60181-3036
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Country | US
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Telephone | 630-805-0567
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146004369
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License Number State | IL
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