Lilli A Shembor Bishop, M.A., C.C.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146002905 Issued in IL

Practice address

1Lucinda Avenue
Northern Illinois Univ., Speech-Language-Hearing Clinic
Dekalb, IL 60115-2899

Phone

(815) 753-6521

NPI assigned

Dec 11, 2006

Last updated

Jun 21, 2012By 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 1

Addresses

Other names 1

• Lilli A Shembor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1255491353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BUENA VISTA DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151013",
            "telephone_number": "815-753-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1LUCINDA AVENUE",
            "address_2": "NORTHERN ILLINOIS UNIV., SPEECH-LANGUAGE-HEARING CLINIC",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152899",
            "telephone_number": "815-753-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMBOR BISHOP",
        "first_name": "LILLI",
        "middle_name": "A",
        "credential": "M.A., C.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLI",
            "last_name": "SHEMBOR",
            "middle_name": "A",
            "credential": "M.A., C.C.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Dekalb, IL
• Providers in Dekalb, 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 Jun 21, 2012; 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.