Elin N Kuzmack

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.005650 Issued in IL

Practice address

2171 W Executive Dr Ste 500
Addison, IL 60101-5626

Phone

(630) 766-0505

NPI assigned

Sep 26, 2019

Last updated

Sep 26, 2019By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1134770571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 W EXECUTIVE DR STE 500",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 W EXECUTIVE DR STE 500",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015626",
            "telephone_number": "630-766-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60644",
            "country_code": "US",
            "telephone_number": "630-766-0505 x216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZMACK",
        "first_name": "ELIN",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.005650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPT",
            "identifier": "1285731547",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Knauf, DDS
• Janelle Knippen, LCPC, R-DMT, RYT
• Brian Steven Koecher, D.O.
• Karen Ann Kowalczyk, APN-CNP
• Andrew Kowalski, M.D.
• Margaret Kwiatkowski
• Lizette Lagunas, PMH-NP
• Lake Street Family Medicine, LLC
• Jaclyn Laporte, MS, LCPC
• Alexandra Marisa Larson, RN

• Speech-Language Pathologist in Addison, IL
• Providers in Addison, 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 Sep 26, 2019; 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.