Provider Demographics
NPI:1407049976
Name:NITZARIM, ESTHER MARSHA (MS, CCC, SPL)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:MARSHA
Last Name:NITZARIM
Suffix:
Gender:F
Credentials:MS, CCC, SPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7443 KILDARE AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3821
Mailing Address - Country:US
Mailing Address - Phone:847-933-0229
Mailing Address - Fax:
Practice Address - Street 1:111 HOGARTH LN
Practice Address - Street 2:
Practice Address - City:GLENCOE
Practice Address - State:IL
Practice Address - Zip Code:60022-1325
Practice Address - Country:US
Practice Address - Phone:847-835-0660
Practice Address - Fax:847-835-0670
Is Sole Proprietor?:No
Enumeration Date:2007-08-19
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-002309235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist