Provider Demographics
NPI:1548499494
Name:LADING, MARGARET L
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:LADING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 OLD RENWICK TRAIL
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435
Mailing Address - Country:US
Mailing Address - Phone:708-269-4943
Mailing Address - Fax:708-269-4943
Practice Address - Street 1:3508 OLD RENWICK TRL
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-9221
Practice Address - Country:US
Practice Address - Phone:708-269-4943
Practice Address - Fax:708-269-4943
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242000977235Z00000X
IL146009963235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL146009963OtherIDFPR