| Lydia Ann Wylie, MS, CCC-SLP | |
|
10 N Summit Ave, Park Ridge, IL 60068-3310 | |
| (847) 825-1161 | |
| Not Available |
| Full Name | Lydia Ann Wylie |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 10 N Summit Ave, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497389183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146014721 (Illinois) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Ann Wylie, MS, CCC-SLP 2629 N Hampden Ct Apt 407, Chicago, IL 60614-1747 Ph: (563) 590-3420 | Lydia Ann Wylie, MS, CCC-SLP 10 N Summit Ave, Park Ridge, IL 60068-3310 Ph: (847) 825-1161 |
Mrs. Erin Renee Chiseri, M.A. CCC- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Stewart Ave, Park Ridge, IL 60068 Phone: 847-318-4360 | |
Madison Elizabeth Rankin, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 422 N Northwest Hwy Ste 210, Park Ridge, IL 60068 Phone: 847-699-9757 Fax: 847-696-3626 | |
Brenda Mullan Eberline, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 535 N Hamlin Ave, Park Ridge, IL 60068 Phone: 847-858-5350 | |
Camille Ponce Kasprzak, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-723-4532 Fax: 847-723-4540 | |
Grace Ann Malone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 924 Austin Ave, Park Ridge, IL 60068 Phone: 847-848-5499 | |
Stephanie Ann Markos, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 444 N Northwest Hwy Ste 147, Park Ridge, IL 60068 Phone: 847-610-9798 | |
Abby Schaffer, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 422 N Northwest Hwy Ste 210, Park Ridge, IL 60068 Phone: 847-699-9757 |