Ellen J Swiderski, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.010794 Issued in IL

Practice address

801 S Milwaukee Ave
Rehab Dept, West Tower
Libertyville, IL 60048-3204

Phone

(847) 990-5350

Fax

(847) 549-6920

NPI assigned

Mar 23, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1336415447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MILWAUKEE AVE",
            "address_2": "REHAB DEPT, WEST TOWER",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483204",
            "telephone_number": "847-990-5350",
            "fax_number": "847-549-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MILWAUKEE AVE",
            "address_2": "REHAB DEPT, WEST TOWER",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483204",
            "telephone_number": "847-990-5350",
            "fax_number": "847-549-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDERSKI",
        "first_name": "ELLEN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine G Sutor, LCPC
• Melinda Griffith Sutter
• Sandra Faith Swain, M.D.
• Kayal M Swaminathan
• Christina Anne Swanson, M.D.
• Sadia Syed, M.D.
• Beth Anne Sylvester, MD
• Synergy Physical Therapy, LTD
• Maria Anne Szafranski
• Stanford Tack, MD

• Speech-Language Pathologist in Libertyville, IL
• Providers in Libertyville, 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 23, 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.