Susan Ninan Zachariah

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.005035 Issued in IL

Practice address

1375 S 5TH Ave
Des Plaines, IL 60018-1430

Phone

(630) 222-3499

NPI assigned

Nov 13, 2017

Last updated

Mar 17, 2018By 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

State licenses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275046229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GREENFIELD DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254819",
            "telephone_number": "630-222-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S 5TH AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181430",
            "telephone_number": "630-222-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Greenfield Dr",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600254819",
            "country_code": "US",
            "telephone_number": "630-222-3499",
            "fax_number": "630-222-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "SUSAN",
        "middle_name": "NINAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.005035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "01130660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Yanovskiy, DPM
• Yvonne Yap
• Yelena M Revich DDS LTD
• Sharon Sookhyung Yim, PHARMD
• Susan Mary Young, RN
• Zahav of Des Plaines LLC (Zahav of Des Plaines)
• Zam Labs LLC
• Linda L Zange, DC LIC AC
• Jadwiga Zawada, PHARMD
• Matthew D Zawilenski, M.D.

• Speech-Language Pathologist in Des Plaines, IL
• Providers in Des Plaines, 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 Mar 17, 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.