Active NPI
Renee Rosenberg, CCC-SLP
- Speech-Language Pathologist
- Skoke, IL
National Provider Identifier
1336798255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-001921
- Practice address
- C/O East Prairie School
7616 N. East Prairie Road
Skoke, IL 60076 - Phone
- (847) 673-1141
- Fax
- (847) 673-1186
- NPI assigned
- Sep 4, 2019
- 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 | 146-001921 | IL | Primary |
Addresses
Primary practice location
C/O East Prairie School
7616 N. East Prairie Road
Skoke, IL 60076
Mailing address
C/O East Prairie School
7616 N. East Prairie Road
Skokie, IL 60076
Phone (847) 673-1141
Other names 1
- Renee Friedlander
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146-001921 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1336798255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O EAST PRAIRIE SCHOOL",
"address_2": "7616 N. EAST PRAIRIE ROAD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60076",
"telephone_number": "847-673-1141",
"fax_number": "847-673-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C/O EAST PRAIRIE SCHOOL",
"address_2": "7616 N. EAST PRAIRIE ROAD",
"city": "SKOKE",
"state": "IL",
"postal_code": "60076",
"telephone_number": "847-673-1141",
"fax_number": "847-673-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "RENEE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146-001921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "FRIEDLANDER",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.