Sarah Elsa O'Connor, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.010695 Issued in IL

Practice address

40W310 Lafox Rd
#1A
St Charles, IL 60175-6588

Phone

(630) 444-0077

Fax

(630) 444-0078

NPI assigned

Sep 15, 2011

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

Other names 1

• Sarah Elsa Brehm Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Northern Illinois University

  • Radiation Oncology Clinic/Center
  • Batavia, IL
  • NPI 1144327487
  Medicare reassignment NPD
• Northern Illinois University

  • Physical Therapy Clinic/Center
  • Dekalb, IL
  • NPI 1194991216
  NPD
• Northern Illinois University-Physical Therapy

  • Physical Therapy Clinic/Center
  • Dekalb, IL
  • NPI 1821251430
  NPD
• Northern Illinois University

  • Audiologist
  • Dekalb, IL
  • NPI 1407916836

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1215219290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W310 LAFOX ROAD",
            "address_2": "#1A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-444-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W310 LAFOX RD",
            "address_2": "#1A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756588",
            "telephone_number": "630-444-0077",
            "fax_number": "630-444-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SARAH",
        "middle_name": "ELSA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BREHM",
            "middle_name": "ELSA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tamara M Nowak, L.S.W., C.A.D.C, J.D
• Shawn Nowotnik, LCSW
• Nyuli Chiropractic, P.C.
• John M. Nyuli, DC
• Katelyn Lee O'Connell, LSW
• Sheila Anne O'Connor, MOT, OTR-L
• Heather O'Hara, LCSW
• Michelle Lee O'Loughlin, M.A. CCCSLP
• Mary Eileen O'Sullivan, LCSW
• Obsidian Behavioral Health PLLC

• Speech-Language Pathologist in St Charles, IL
• Providers in St Charles, 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 Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.