Individual provider Active NPI

Lindsay Wawrzyniak, M.S. CFY-SLP

  • Speech-Language Pathologist
  • Downers Grove, IL
National Provider Identifier
1083035406
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.002871 Issued in IL
Practice address
200 Village Dr
Downers Grove, IL 60516-3046
Phone
(630) 769-6100
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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 242.002871 IL Primary

Addresses

Primary practice location

200 Village Dr
Downers Grove, IL 60516-3046

Mailing address

1713 W Diversey Pkwy Unit H
Chicago, IL 60614-1087

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242.002871ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1083035406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W DIVERSEY PKWY UNIT H",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163046",
            "telephone_number": "630-769-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWRZYNIAK",
        "first_name": "LINDSAY",
        "credential": "M.S. CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.002871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.