Provider Demographics
NPI:1669368486
Name:ETCHINGHAM, MARGARET KATE
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:KATE
Last Name:ETCHINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 ENGEL BLVD
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4458
Mailing Address - Country:US
Mailing Address - Phone:847-372-4750
Mailing Address - Fax:
Practice Address - Street 1:519 ENGEL BLVD
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4458
Practice Address - Country:US
Practice Address - Phone:847-372-4750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist