Individual provider Active NPI

Mary Elizabeth Pawlicki

  • Speech-Language Pathologist
  • Lake in the Hills, IL
National Provider Identifier
1063325462
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146000657 Issued in IL
Practice address
1301 Pyott Rd Ste 109
Lake in the Hills, IL 60156-9796
Phone
(847) 829-0922
NPI assigned
Sep 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146000657 IL Primary

Addresses

Primary practice location

1301 Pyott Rd Ste 109
Lake in the Hills, IL 60156-9796

Mailing address

988 Sutherland Dr
Crystal Lake, IL 60014-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1063325462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 SUTHERLAND DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 109",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569796",
            "telephone_number": "847-829-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLICKI",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146000657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.