Active NPI
Anthony Lin
- Speech-Language Pathologist
- Oak Lawn, IL
National Provider Identifier
1154170090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.017647
- Practice address
- 10201 S Cicero Ave Ste F
Oak Lawn, IL 60453-4098 - Phone
- (708) 232-8763
- NPI assigned
- May 14, 2024
- Last updated
- May 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.017647 | IL | Primary |
Addresses
Primary practice location
10201 S Cicero Ave Ste F
Oak Lawn, IL 60453-4098
Mailing address
10201 S Cicero Ave Ste F
Oak Lawn, IL 60453-4098
Phone (708) 232-8763
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.017647 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Childrens Therapy | Speech-Language Pathologist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1154170090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 S CICERO AVE STE F",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534098",
"telephone_number": "708-232-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 S CICERO AVE STE F",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534098",
"telephone_number": "708-232-8763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.017647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
- James C Liang, M.D.
- Liberty Physical Therapy Center
- Julia Lignarska
- Aran Park Lim, APRN
- Regine Marie Go Lim
- Lauren F Lindle, MD
- George William Lingen Jr., DDS
- Amy Liss, PA-C
- Little Company of Mary Affiliated Services Inc (Little Co of Mary Care Station)
- Little Company of Mary Affiliated Services, Inc (Occupational Health Management)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.