Active NPI
Anne Marie Pasternock, CCC-SLP
- Speech-Language Pathologist
- Naperville, IL
National Provider Identifier
1043987308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242006134
- Practice address
- 624 E Ogden Ave
Naperville, IL 60563-3237 - Phone
- (708) 365-9810
- NPI assigned
- Aug 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242006134 | IL | Primary |
Addresses
Primary practice location
624 E Ogden Ave
Naperville, IL 60563-3237
Mailing address
1605 Killdeer Dr
Naperville, IL 60565-2324
Phone (630) 512-7316
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 |
|---|---|---|---|
| 242006134 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressive Speech and Voice Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
624 E Ogden Ave
Naperville, IL 60563
Phone (630) 955-9800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Naperville, IL
- NPI 1346946969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1043987308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 KILLDEER DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605652324",
"telephone_number": "630-512-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E OGDEN AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633237",
"telephone_number": "708-365-9810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTERNOCK",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242006134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.