Active NPI
Paulina Polek, M.A.,CCC-SLP
- Speech-Language Pathologist
- Arlington HTS, IL
National Provider Identifier
1336545482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146012970
- Practice address
- 400 S Dryden PL
Arlington HTS, IL 60005-2136 - Phone
- (224) 659-3241
- Fax
- (847) 749-0794
- NPI assigned
- Nov 17, 2014
- 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 | 146012970 | IL | Primary |
Addresses
Primary practice location
400 S Dryden PL
Arlington HTS, IL 60005-2136
Mailing address
400 S Dryden PL
Arlington HTS, IL 60005-2136
Phone (224) 659-3241
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146012970 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Therapies Il Inc | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Arlington Heights, IL
- NPI 1972007029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1336545482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S DRYDEN PL",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600052136",
"telephone_number": "224-659-3241",
"fax_number": "847-749-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S DRYDEN PL",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600052136",
"telephone_number": "224-659-3241",
"fax_number": "847-749-0794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLEK",
"first_name": "PAULINA",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-17",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146012970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington HTS, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.