Organization Active NPI

Susan Vorwerk Mat CCC SLP Speech & Language Pathology Services PC

  • Speech-Language Pathologist
  • Flossmoor, IL
National Provider Identifier
1033234992
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146000355 Issued in IL
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

Updated by the provider on Aug 26, 2011

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01607161OtherILBLUE CROSS BLUE SHIELD OF

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.