MEDICARE: MS. MARY JUNE KINNEY

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
1	235Z00000X	Speech-Language Pathologist		IL

General Provider Information

NPI Number	:	1568052736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY JUNE KINNEY

Provider Business Mailing Address
First Line	:	222 SHORT ST
Second Line	:
City	:	LEMONT
State	:	IL
Zip	:	60439-4227
Country	:	US
Telephone Number	:	773-746-8643
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 SHORT ST
Second Line	:
City	:	LEMONT
State	:	IL
Zip	:	60439-4227
Country	:	US
Telephone Number	:	773-746-8643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	04/10/2026

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Directions to “ MS. MARY JUNE KINNEY ” Practice Location

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