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

Mary T Lake, SLP

Individual provider Speech-Language Pathologist · NPI 1821203100

Mary T Lake, SLP is a Speech-Language Pathologist in Oak Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

See every abbreviation used in this directory →

Practice location Address checks out

15700 Terrace Dr # P102
Oak Forest, IL 60452-2959
Phone: (708) 717-4924
Fax: (815) 464-8431
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (IL)

Record details

NPI number1821203100
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedMay 11, 2007
Last updated in NPPESJuly 8, 2007

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