Individual provider Active NPI

Jeanine Whealan, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1174881437
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6252799 Issued in IL
Practice address
3700 W 103Rd St
Department of Communication Sciences and Disorders
Chicago, IL 60655-3105
Phone
(773) 298-3571
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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 6252799 IL Primary

Addresses

Primary practice location

3700 W 103Rd St
Department of Communication Sciences and Disorders
Chicago, IL 60655-3105

Mailing address

3700 W 103Rd St
Department of Communication Sciences and Disorders
Chicago, IL 60655-3105

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

LicenseStateTypeSpecialty
6252799ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1174881437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 103RD ST",
            "address_2": "DEPARTMENT OF COMMUNICATION SCIENCES AND DISORDERS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 103RD ST",
            "address_2": "DEPARTMENT OF COMMUNICATION SCIENCES AND DISORDERS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553105",
            "telephone_number": "773-298-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEALAN",
        "first_name": "JEANINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "6252799",
            "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 Apr 24, 2012; 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.