Pamela Lou Chmielewski, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.004661 Issued in IL

Practice address

1750 S Fairview Ave
Decatur, IL 62521-4059

Phone

(217) 429-2991

Fax

(217) 422-6453

NPI assigned

Oct 5, 2012

Last updated

Oct 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1144572751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N COTTAGE ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S FAIRVIEW AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214059",
            "telephone_number": "217-429-2991",
            "fax_number": "217-422-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIELEWSKI",
        "first_name": "PAMELA",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.004661",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2010007565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youngtak CHI, DDS
• Mary T Chierek, CRNA
• Madana M Chilakuri
• Shalini Chiravuri
• Suren Jenny Chiu, LDN
• Jennifer Ann Choatie, FNP-BC
• Michael Choi, MD
• Sungmi Choi, NP
• Choudary V. Kavuri MD, SC
• Larry Lee Christensen, RPH

• Speech-Language Pathologist in Decatur, IL
• Providers in Decatur, 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 Oct 5, 2012; 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.