Active NPI
Morgan Vachio
- Speech-Language Pathologist
- Wood Dale, IL
National Provider Identifier
1285303479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242006611
- Practice address
- 180 Hansen CT Ste 100
Wood Dale, IL 60191-1146 - Phone
- (630) 595-8200
- NPI assigned
- Sep 10, 2021
- Last updated
- Sep 10, 2021
- 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 | 242006611 | IL | Primary |
Addresses
Primary practice location
180 Hansen CT Ste 100
Wood Dale, IL 60191-1146
Mailing address
180 Hansen CT Ste 100
Wood Dale, IL 60191-1146
Phone (630) 595-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242006611 | Other | IL | ILLINOIS TEMPORARY SLP LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242006611 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child's Voice School | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Wood Dale, IL
- NPI 1992919724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1285303479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HANSEN CT STE 100",
"city": "WOOD DALE",
"state": "IL",
"postal_code": "601911146",
"telephone_number": "630-595-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 HANSEN CT STE 100",
"city": "WOOD DALE",
"state": "IL",
"postal_code": "601911146",
"telephone_number": "630-595-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACHIO",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242006611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS TEMPORARY SLP LICENSE",
"identifier": "242006611",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wood Dale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.