| Mrs Makenna Green, MA, SLP | |
|
4058 E Main St, St Charles, IL 60174-5202 | |
| (630) 793-4464 | |
| Not Available |
| Full Name | Mrs Makenna Green |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4058 E Main St, St Charles, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467004697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242.005419 (Illinois) | Primary |
| Provider Name | Northern Illinois University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144327487 PECOS PAC ID: 2860440195 Enrollment ID: O20050104000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Makenna Green, MA, SLP 420 Hamilton Rd, St Charles, IL 60175-8009 Ph: (630) 677-4409 | Mrs Makenna Green, MA, SLP 4058 E Main St, St Charles, IL 60174-5202 Ph: (630) 793-4464 |
Katie Goldstein, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1304 Ronzheimer Ave, St Charles, IL 60174 Phone: 331-228-4873 | |
Amanda Wallace, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40w310 Lafox Rd, Suite A1/b1, St Charles, IL 60175 Phone: 630-444-0077 | |
Ms. Julie E Bonhotal, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40w803 Willowbrook Dr, St Charles, IL 60175 Phone: 815-404-9475 | |
Alicia Hizel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1601 E Main St, St Charles, IL 60174 Phone: 630-461-5931 | |
Mrs. Jamie Lynn Strock, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1304 Ronzheimer Ave, St Charles, IL 60174 Phone: 630-228-4873 | |
Kathleen A Altersohn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40w310 Lafox Rd, Ste 1a-b, St Charles, IL 60175 Phone: 630-444-0077 | |
Gregory Johnson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1705 Huntington Rd, St Charles, IL 60174 Phone: 224-715-5561 |