Provider Demographics
NPI:1063687143
Name:DINEEN, MICHELLE ZEMSKY (MA, CCC, SLP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ZEMSKY
Last Name:DINEEN
Suffix:
Gender:F
Credentials:MA, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6721 N OKETO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-1332
Mailing Address - Country:US
Mailing Address - Phone:773-519-1915
Mailing Address - Fax:
Practice Address - Street 1:6721 N OKETO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1332
Practice Address - Country:US
Practice Address - Phone:773-519-1915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146004539235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist