Active NPI
Emily Witham, M.S. CF-SLP
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1154930592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.005803
- Practice address
- 8 S Michigan Ave Ste 2100
Chicago, IL 60603-3337 - Phone
- (312) 392-1640
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- 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 | 242.005803 | IL | Primary |
Addresses
Primary practice location
8 S Michigan Ave Ste 2100
Chicago, IL 60603-3337
Mailing address
400 N McClurg CT Apt 2004
Chicago, IL 60611-4375
Phone (231) 740-7798
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242.005803 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1154930592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MCCLURG CT APT 2004",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114375",
"telephone_number": "231-740-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 S MICHIGAN AVE STE 2100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606033337",
"telephone_number": "312-392-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHAM",
"first_name": "EMILY",
"credential": "M.S. CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.005803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.