Provider Demographics
NPI:1699814269
Name:MAHER, ANN E (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:E
Last Name:MAHER
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 1:906 TIMBER SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60432-0818
Mailing Address - Country:US
Mailing Address - Phone:630-362-9022
Mailing Address - Fax:
Practice Address - Street 1:2300 CHILDREN'S PLAZA
Practice Address - Street 2:#142
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:630-362-9022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.007837235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist