Individual provider Active NPI

Marguerite Sinigal-Johnson

  • Speech-Language Pathologist
  • Flossmoor, IL
National Provider Identifier
1154744985
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146002943 Issued in IL
Practice address
19740 Governors Hwy
Suite 118
Flossmoor, IL 60422-2084
Phone
(708) 799-5569
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 146002943 IL Primary

Addresses

Primary practice location

19740 Governors Hwy
Suite 118
Flossmoor, IL 60422-2084

Mailing address

4517 Columbine LN
Matteson, IL 60443-1759
Phone (708) 220-7357

Other identifiers 1

IdentifierTypeStateIssuer
146002943OtherILLICENSE

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

LicenseStateTypeSpecialty
146002943ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1154744985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 COLUMBINE LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431759",
            "telephone_number": "708-220-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19740 GOVERNORS HWY",
            "address_2": "SUITE 118",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222084",
            "telephone_number": "708-799-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINIGAL-JOHNSON",
        "first_name": "MARGUERITE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "146002943",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.