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MARY T LAKE SLP
NPI 1821203100
Speech-Language Pathologist in Oak Forest, IL

Active since May 11, 2007
15700 TERRACE DR # P102, OAK FOREST, IL 60452(708) 717-4924(815) 464-8431 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary T Lake Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY T LAKE SLP (NPI 1821203100) is an individual speech-language pathologist provider in Oak Forest, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1821203100
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY T LAKECredential: SLP
Location Address15700 TERRACE DR # P102Oak Forest, IL 60452-2959
Mailing Address15700 Terrace Dr # P102Oak Forest, IL 60452-2959 · (708) 717-4924 · Fax (815) 464-8431
Phone(708) 717-4924
Fax(815) 464-8431
Sole ProprietorYes
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821203100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
15700 TERRACE DR # P102, Oak Forest, IL 60452
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lake's NPI number?

The NPI number for Mary Lake is 1821203100. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Mary Lake located?

Mary Lake practices at 15700 Terrace Dr # P102, Oak Forest, IL 60452. The listed phone number is (708) 717-4924.

What is Mary Lake's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Lake was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.