Active NPI
Lauren Elizabeth Ficker
- Speech-Language Pathologist
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.015221
- Practice address
- 14601 John Humphrey Dr
Orland Park, IL 60462-2641 - Phone
- (708) 349-8300
- NPI assigned
- Nov 2, 2017
- Last updated
- Mar 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.015221 | IL | Primary |
| Speech-Language Pathologist | 235Z00000X | 4569-154 | WI |
Addresses
Primary practice location
14601 John Humphrey Dr
Orland Park, IL 60462-2641
Mailing address
407 Tonelli TRL
Lockport, IL 60441-3343
Phone (815) 274-9776
Other practice location 1
121 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12600 Renaissance Cir
Homer Glen, IL 60491-5891
Phone (331) 757-1490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.015221 | IL | MD | Speech-Language Pathologist |
| 4569-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortlyn Therapy, PC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 250-4576
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Symbria Outpatient Services
- Physical Therapist
- Cincinnati, OH
- NPI 1235725730
IL, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1073025748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 TONELLI TRL",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604413343",
"telephone_number": "815-274-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14601 JOHN HUMPHREY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622641",
"telephone_number": "708-349-8300"
}
],
"practiceLocations": [
{
"address_1": "121 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "WI",
"postal_code": "530983303",
"country_code": "US",
"telephone_number": "920-261-9220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FICKER",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.015221",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "4569-154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.