Avery Polizzi

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1927 S 15TH Ave
Broadview, IL 60155-3005

Phone

(317) 408-8662

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1245711985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 W WAVELAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133712",
            "telephone_number": "317-408-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 S 15TH AVE",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601553005",
            "telephone_number": "317-408-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZZI",
        "first_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoveva Perez, AA
• Kenita J. Perry-Bell, L.C.S.W.
• David Phan, PHARMD
• Thomas Alan Plach, LCSW
• Britteny Poe
• Prakash K. Upadhyaya DDS LTD.
• Presence Behavioral Health (Employee Resource Centers)
• Presence Behavioral Health (ProCare Centers)
• Sarah Jean Prokop, PHARMD
• Brian Louis Raymond, PHARM. D.

• Speech-Language Pathologist in Broadview, IL
• Providers in Broadview, 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 Aug 21, 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.