Active NPI
Susan Vorwerk Mat CCC SLP Speech & Language Pathology Services PC
- Speech-Language Pathologist
- Flossmoor, IL
National Provider Identifier
1033234992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146000355
- Legal business name
- SUSAN VORWERK MAT CCC SLP SPEECH & LANGUAGE PATHOLOGY SERVICES PC
- Practice address
- 3235 Vollmer Rd
Suite 104
Flossmoor, IL 60422-2013 - Phone
- (708) 799-7900
- Fax
- (708) 799-7977
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Jane Richard Vorwerk, MAT CCC SLP
- Title
- President
- Phone
- (708) 799-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146000355 | IL | Primary |
Addresses
Primary practice location
3235 Vollmer Rd
Suite 104
Flossmoor, IL 60422-2013
Mailing address
3235 Vollmer Rd
Suite 104
Flossmoor, IL 60422-2013
Phone (708) 799-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01607161 | Other | IL | BLUE CROSS BLUE SHIELD OF |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314316800000",
"number": "1033234992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 VOLLMER RD",
"address_2": "SUITE 104",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222013",
"telephone_number": "708-799-7900",
"fax_number": "708-799-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 VOLLMER RD",
"address_2": "SUITE 104",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222013",
"telephone_number": "708-799-7900",
"fax_number": "708-799-7977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN VORWERK MAT CCC SLP SPEECH & LANGUAGE PATHOLOGY SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2011-08-26",
"status": "A",
"authorized_official_last_name": "VORWERK",
"authorized_official_first_name": "SUSAN JANE RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-799-7900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MAT CCC SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146000355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "01607161",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.