Individual provider Active NPI

Paulina Polek, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Arlington HTS, IL
National Provider Identifier
1336545482
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146012970 Issued in IL
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

Updated by the provider on Feb 24, 2016

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 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

LicenseStateTypeSpecialty
146012970ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.