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NPI Code Detail

MEDICARE: NANCY CATHERINE IRVINE

MEDICARE:   NANCY CATHERINE IRVINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146.004899IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101118653OTHERAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
2146-004899OTHERILDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

General Provider Information

NPI Number : 1083501589
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY CATHERINE IRVINE
Provider Business Mailing Address
First Line : 1017 S EAST AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60304-2103
Country : US
Telephone Number : 708-724-3975
Fax Number :
Provider Business Practice Location Address
First Line : 5110 W 24TH ST
Second Line :
City : CICERO
State : IL
Zip : 60804-2948
Country : US
Telephone Number : 708-863-4856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2025
Last Update Date : 06/18/2025

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Directions to “ NANCY CATHERINE IRVINE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.