Individual provider Active NPI

Agnes De Las Mercedes Salichs, ED.D

  • Counselor
  • Hanover Park, IL
National Provider Identifier
1194233080
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
176 Issued in PR
Practice address
1804 Irving Park Rd Ste a
Hanover Park, IL 60133-3254
Phone
(773) 965-1220
Fax
(630) 839-9024
NPI assigned
Jan 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 176 PR Primary

Addresses

Primary practice location

1804 Irving Park Rd Ste a
Hanover Park, IL 60133-3254

Mailing address

1109 Yorkshire CT Apt B
Elgin, IL 60120-7115
Phone (787) 486-2425

Other practice location 1

1109 Yorkshire Ct Apt B
Elgin, IL 60120-7115
Phone (787) 486-2425

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

State licenses

LicenseStateTypeSpecialty
176PRMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194233080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 YORKSHIRE CT APT B",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601207115",
            "telephone_number": "787-486-2425",
            "fax_number": "630-839-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 IRVING PARK RD STE A",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333254",
            "telephone_number": "773-965-1220",
            "fax_number": "630-839-9024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 Yorkshire Ct Apt B",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601207115",
            "country_code": "US",
            "telephone_number": "787-486-2425",
            "fax_number": "630-839-9024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALICHS",
        "first_name": "AGNES",
        "middle_name": "DE LAS MERCEDES",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PR",
            "license": "176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.