Active NPI
Susan Anish P.C.
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1255396792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SUSAN ANISH P.C.
- Practice address
- 7658 W Farragut Ave
Chicago, IL 60656-1704 - Phone
- (773) 467-0063
- NPI assigned
- Apr 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan E Anish, M.S. CCC-SLP
- Title
- President / Speech Therapist
- Phone
- (773) 467-0063
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Primary |
Addresses
Primary practice location
7658 W Farragut Ave
Chicago, IL 60656-1704
Mailing address
7658 W Farragut Ave
Chicago, IL 60656-1704
Phone (773) 467-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633987 | Other | IL | BLUE SHIELD PROVIDER # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Chicago, IL
- NPI 1588831200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255396792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7658 W FARRAGUT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561704",
"telephone_number": "773-467-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7658 W FARRAGUT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561704",
"telephone_number": "773-467-0063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN ANISH P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANISH",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT / SPEECH THERAPIST",
"authorized_official_telephone_number": "773-467-0063",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "01633987",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.