Anne Stefanski-Douglas, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-005994 Issued in IL

Practice address

1133 N Dearborn St
#2904
Chicago, IL 60610-2783

Phone

(312) 915-0374

Fax

(312) 915-0374

NPI assigned

Feb 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Anne Stefanski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1053452185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N. SCOVILLE AVENUE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60302",
            "telephone_number": "708-613-5824",
            "fax_number": "708-613-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N DEARBORN ST",
            "address_2": "#2904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102783",
            "telephone_number": "312-915-0374",
            "fax_number": "312-915-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANSKI-DOUGLAS",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-005994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "STEFANSKI",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stefanie Maxwell, Psy.D., P.C.
• Kristina Noemi Stefanini
• Vasilios John Stefanis, MD
• Jennifer Stefankiewicz
• Margaret Stefanowski
• Steff Du Bois Psychotherapy, LLC
• Steff Du Bois Psychotherapy, LLC
• Elizabeth Steffen, MA CCC-SLP
• Allison Steffens
• Jennifer Steffensen, PHARMD

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.