Marie Therese Clare Bonomo
Speech-Language Pathologist • Channahon, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marie Bonomo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Marie Bonomo was a registered Speech-Language Pathologist practicing in Channahon, IL. Throughout an active medical career spanning 1 years, Marie Bonomo provided care at the practice location at 26655 W EAMES ST until profile deactivation on 2024-05-02.
Practice Location & Contact Primary Location
26655 W Eames St
Channahon, IL 604105380
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Channahon, IL
Practicing in Channahon, IL (10321 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 02, 2024
Record deactivated on May 01, 2024
NPI status registered as active in NPPES database
Registered at 26655 W EAMES ST, CHANNAHON, IL 604105380 (Tel: 8155214001)
Registered at 750 PHEASANT LN, COAL CITY, IL 604162418 (Tel: 8153413489)
Recorded as MARIE BONOMO
Speech-Language Pathologist (License #146.015616 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
750 Pheasant Ln
Coal City, IL 604162418
Phone: 8153413489
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