Active NPI
Jennifer L. Acevedo, MS CCC-SLP/L
- Speech-Language Pathologist
- Oak Park, IL
National Provider Identifier
1164680419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.008275
- Practice address
- 3 Erie CT
Suite 6120
Oak Park, IL 60302-2519 - Phone
- (708) 763-1320
- Fax
- (708) 763-1304
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 146.008275 | IL | Primary |
Addresses
Primary practice location
3 Erie CT
Suite 6120
Oak Park, IL 60302-2519
Mailing address
8525 W Catherine Ave
Unit 373
Chicago, IL 60656-2920
Phone (773) 399-0384
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 |
|---|---|---|---|
| 146.008275 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1164680419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8525 W CATHERINE AVE",
"address_2": "UNIT 373",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606562920",
"telephone_number": "773-399-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ERIE CT",
"address_2": "SUITE 6120",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022519",
"telephone_number": "708-763-1320",
"fax_number": "708-763-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "JENNIFER",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "MS CCC-SLP/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.008275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.