Active NPI
Sarah Smetana
- Speech-Language Pathologist
- Willowbrook, IL
National Provider Identifier
1194144006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.002987
- Practice address
- 6705 Kingery Hwy
Willowbrook, IL 60527-5142 - Phone
- (312) 238-0560
- NPI assigned
- Apr 8, 2014
- 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 | 242.002987 | IL | Primary |
Addresses
Primary practice location
6705 Kingery Hwy
Willowbrook, IL 60527-5142
Mailing address
2648 Brunswick CT
Lisle, IL 60532-3211
Phone (708) 705-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2648 Brunswick CT
Lisle, IL 60532-3211
3030 Warrenville Rd
Suite 450 26
Lisle, IL 60532-1000
Phone (708) 465-1112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.002987 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Ensalaco Speech Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
3030 Warrenville Rd
Ste 45026
Lisle, IL 60532
Phone (708) 465-1112
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Lisle, IL
- NPI 1194579995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1194144006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2648 BRUNSWICK CT",
"city": "LISLE",
"state": "IL",
"postal_code": "605323211",
"telephone_number": "708-705-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6705 KINGERY HWY",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275142",
"telephone_number": "312-238-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMETANA",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.002987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.