Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marion Jackson Mito, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912219890

Marion Jackson Mito, MACCC-SLP is a Speech-Language Pathologist in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

1875 Dempster St Parkside G-10
Park Ridge, IL 60068-1186
Phone: (847) 723-7848
Fax: (847) 723-2223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.001757 (IL)

Record details

NPI number1912219890
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESJuly 8, 2010
Mailing address2616 N Wilshire Ln, Arlington Heights, IL 60004-2275

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