Individual provider Active NPI

TSZ Ying Charis Maurer

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1073810412
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242001806 Issued in IL
Practice address
1700 N Talman Ave Apt 1
Chicago, IL 60647-8767
Phone
(812) 322-3181
NPI assigned
Feb 22, 2011
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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 242001806 IL Primary

Addresses

Primary practice location

1700 N Talman Ave Apt 1
Chicago, IL 60647-8767

Mailing address

1700 N Talman Ave Apt 1
Chicago, IL 60647-8767
Phone (812) 322-3181

Other practice location 1

2500 175th St
Lansing, IL 60438-1801
Phone (708) 474-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916000061 IL Practitioner - Qualified Speech Language Pathologist 4981933025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Northwestern University Feinberg Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians
Memorycare CorporationGroup PAC ID 3870785132, 11 clinicians

Practice addresses (Care Compare)

1000 Sunset Ridge Rd
Northbrook, IL 60062-4008
Phone (224) 300-7284

1057 Chadwick CT
Aurora, IL 60502-9323
Phone (630) 800-2444

4950 N Ashland Ave
Chicago, IL 60640-3477
Phone (312) 598-2030

5333 N Sheridan Rd
Chicago, IL 60640-2531
Phone (708) 905-6022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242001806ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorycare Corporation Speech-Language Pathologist CurrentSince Aug 10, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1073810412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N TALMAN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478767",
            "telephone_number": "812-322-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N TALMAN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478767",
            "telephone_number": "812-322-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 175th St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "IL",
            "postal_code": "604381801",
            "country_code": "US",
            "telephone_number": "708-474-7330",
            "fax_number": "708-474-7391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURER",
        "first_name": "TSZ YING CHARIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242001806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.

Verify at the official NPI Registry.