Active NPI
Megan Polivka
- Speech-Language Pathologist
- Buffalo Grove, IL
National Provider Identifier
1255190062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1145 Weiland Rd
Buffalo Grove, IL 60089-7006 - Phone
- (847) 707-6744
- NPI assigned
- Mar 14, 2024
- 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 | Primary |
Addresses
Primary practice location
1145 Weiland Rd
Buffalo Grove, IL 60089-7006
Mailing address
405 Alma Ter
Cary, IL 60013-2103
Phone (847) 361-8590
Other practice location 1
1554 E Algonquin Rd
Algonquin, IL 60102-4519
Phone (847) 707-6744
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1255190062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 ALMA TER",
"city": "CARY",
"state": "IL",
"postal_code": "600132103",
"telephone_number": "847-361-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 WEILAND RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600897006",
"telephone_number": "847-707-6744"
}
],
"practiceLocations": [
{
"address_1": "1554 E Algonquin Rd",
"address_purpose": "LOCATION",
"city": "Algonquin",
"state": "IL",
"postal_code": "601024519",
"country_code": "US",
"telephone_number": "847-707-6744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLIVKA",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.