Provider Demographics
NPI:1447446893
Name:GASPARY, MARIANNE GROSS (MS-CCC)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:GROSS
Last Name:GASPARY
Suffix:
Gender:F
Credentials:MS-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 W IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-2459
Mailing Address - Country:US
Mailing Address - Phone:773-736-4327
Mailing Address - Fax:773-736-4343
Practice Address - Street 1:6410 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-2459
Practice Address - Country:US
Practice Address - Phone:773-736-4327
Practice Address - Fax:773-736-4343
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001218237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter