Active NPI
Katherine Prokop, CCC-SLP
- Speech-Language Pathologist
- Norridge, IL
National Provider Identifier
1235759374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146013957
- Practice address
- 7001 W Cullom Ave
Norridge, IL 60706-7100 - Phone
- (708) 457-0700
- NPI assigned
- Apr 18, 2020
- 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 | 146013957 | IL | Primary |
Addresses
Primary practice location
7001 W Cullom Ave
Norridge, IL 60706-7100
Mailing address
1303 Springwood Dr Unit A2
Schaumburg, IL 60193-1999
Phone (847) 370-3908
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146013957 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587254400000",
"number": "1235759374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 SPRINGWOOD DR UNIT A2",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601931999",
"telephone_number": "847-370-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 W CULLOM AVE",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607067100",
"telephone_number": "708-457-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKOP",
"first_name": "KATHERINE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-18",
"last_updated": "2020-04-19",
"certification_date": "2020-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146013957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.