Dana Catherine Polun, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

511 Park Ave
River Forest, IL 60305-1712

Phone

(708) 366-6740

NPI assigned

Nov 21, 2006

Last updated

Apr 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1255406856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PARK AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PARK AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051712",
            "telephone_number": "708-366-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLUN",
        "first_name": "DANA",
        "middle_name": "CATHERINE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER OF ARTS UC-NORTH",
            "identifier": "001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in River Forest, IL
• Providers in River Forest, 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 Apr 19, 2013; 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.