Dominika N Matuzik

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146014335 Issued in IL

Practice address

2516 Waukegan Rd
Ste 206
Glenview, IL 60025

Phone

(224) 628-5823

NPI assigned

Apr 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DM Speech Therapy LLC

  • Speech-Language Pathologist
  • Glenview, IL
  • NPI 1427695816
  Medicare reassignment NPD Authorized official
• Maloy Therapeutic Alliance Inc

  • Clinical Psychologist
  • Schaumburg, IL
  • NPI 1376011049
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1164928719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 WAUKEGAN RD STE 206",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251774",
            "telephone_number": "224-628-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 WAUKEGAN RD",
            "address_2": "STE 206",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "224-628-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606342616",
            "country_code": "US",
            "telephone_number": "773-685-8482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5820 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606342616",
            "country_code": "US",
            "telephone_number": "773-685-8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUZIK",
        "first_name": "DOMINIKA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Matei
• Karine Matevossian, DO
• Thomas Mathew, RPT
• Amanda Jean Mathews
• Jason Mattson
• Tetyana Matveyeva
• Tatiana Matyukhin
• Angelica Elizabeth Mauro-Martin
• Maxim Bankevich
• May Hashimi MD S C

• Speech-Language Pathologist in Glenview, IL
• Providers in Glenview, 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 Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.