Active NPI
Tonya Evans, SLP
- Speech-Language Pathologist
- Morton Grove, IL
National Provider Identifier
1003953522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146007365
- Practice address
- 7135 Golf Rd
Morton Grove, IL 60053-1200 - Phone
- (773) 443-0670
- Fax
- (847) 470-8004
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146007365 | IL | Primary |
| Speech-Language Pathologist | 235Z00000X | 22003912A | IN | |
| Speech-Language Pathologist | 235Z00000X | 2482-154 | WI |
Addresses
Primary practice location
7135 Golf Rd
Morton Grove, IL 60053-1200
Mailing address
7135 Golf Rd
Morton Grove, IL 60053-1200
Phone (773) 443-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146007365 | IL | MD | Speech-Language Pathologist |
| 22003912A | IN | MD | Speech-Language Pathologist |
| 2482-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003953522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7135 GOLF RD",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600531200",
"telephone_number": "773-443-0670",
"fax_number": "847-470-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7135 GOLF RD",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600531200",
"telephone_number": "773-443-0670",
"fax_number": "847-470-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TONYA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146007365",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22003912A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2482-154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.