Provider Demographics
NPI:1194867358
Name:MCQUADE, LAURA J (SLPD, CCC-SLP, PLLC)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:J
Last Name:MCQUADE
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 LEGACY CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1253
Mailing Address - Country:US
Mailing Address - Phone:331-330-5353
Mailing Address - Fax:
Practice Address - Street 1:1816 ALLEN DR
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-3108
Practice Address - Country:US
Practice Address - Phone:331-330-5353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-12-101242080P0006X
IL1460007254235Z00000X
IL146007254235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04532152OtherPIN FOR BCBS
IL1528701562OtherBCBS IL
IL1528701562OtherBLUE CROSS BLUE SHIELD