Provider Demographics
NPI:1770638454
Name:RAINS, DANA M (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:M
Last Name:RAINS
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 TAYLOR GLEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60451-2909
Mailing Address - Country:US
Mailing Address - Phone:708-404-2058
Mailing Address - Fax:815-320-3108
Practice Address - Street 1:2821 TAYLOR GLEN DR
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-2909
Practice Address - Country:US
Practice Address - Phone:708-404-2058
Practice Address - Fax:815-320-3108
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-007332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist