Individual provider Active NPI

Amy Jo Nourie

  • Speech-Language Pathologist
  • Oakbrook Terrace, IL
National Provider Identifier
1306003231
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.007470 Issued in IL
Practice address
17W682 Butterfield Rd Ste 102
Oakbrook Terrace, IL 60181-4029
Phone
(630) 909-7378
Fax
(630) 909-7371
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.007470 IL Primary

Addresses

Primary practice location

17W682 Butterfield Rd Ste 102
Oakbrook Terrace, IL 60181-4029

Mailing address

17W682 Butterfield Rd Ste 102
Oakbrook Terrace, IL 60181-4029
Phone (630) 909-7378

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

LicenseStateTypeSpecialty
146.007470ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1306003231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W682 BUTTERFIELD RD STE 102",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814029",
            "telephone_number": "630-909-7378",
            "fax_number": "630-909-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W682 BUTTERFIELD RD STE 102",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814029",
            "telephone_number": "630-909-7378",
            "fax_number": "630-909-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURIE",
        "first_name": "AMY JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.