Judith A Corcoran

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146001853 Issued in IL

Practice address

2300 123Rd PL
Blue Island, IL 60406-1672

Phone

(708) 489-3533

NPI assigned

Dec 1, 2017

Last updated

Dec 4, 2017By 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

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": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1295249076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 S PROSPECT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432825",
            "telephone_number": "773-881-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 123RD PL",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061672",
            "telephone_number": "708-489-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "JUDITH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146001853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cook County (Cook County Health at Blue Island)
• Cook County (Cook County Health at Blue Island)
• Cook County (Cook County Health at Blue Island)
• Cook County School Dist 130
• Kesi Alyce Cook, RN
• Amada Lucia Cordova
• Core Inc.
• Tara Nicole Cox
• Kathryn A. Craig, M.D.
• Regina Crawford

• Speech-Language Pathologist in Blue Island, IL
• Providers in Blue Island, 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 Dec 4, 2017; 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.