Provider Demographics
NPI:1245568344
Name:POLITO, MARGARET (MHS, CCC-SLP/L)
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:
Last Name:POLITO
Suffix:
Gender:F
Credentials:MHS, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11411 W 183RD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9450
Mailing Address - Country:US
Mailing Address - Phone:708-478-1820
Mailing Address - Fax:708-478-3316
Practice Address - Street 1:11411 W 183RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9450
Practice Address - Country:US
Practice Address - Phone:708-478-1820
Practice Address - Fax:708-478-3316
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009428235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09932114OtherBCBS