Provider Demographics
NPI:1801263082
Name:DELAPAZ-BUCK, MERCEDES (SLP)
Entity type:Individual
Prefix:MS
First Name:MERCEDES
Middle Name:
Last Name:DELAPAZ-BUCK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N FOREST CT
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-2918
Mailing Address - Country:US
Mailing Address - Phone:630-965-4208
Mailing Address - Fax:630-458-8749
Practice Address - Street 1:201 N FOREST CT
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-2918
Practice Address - Country:US
Practice Address - Phone:630-965-4208
Practice Address - Fax:630-458-8749
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146003789235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist