Active NPI
Christine Brennan, M.A., CCC-SLP
- Speech-Language Pathologist
- Skokie, IL
National Provider Identifier
1356474290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4711 Golf Rd
Suite 100
Skokie, IL 60076-1224 - Phone
- (847) 679-8635
- Fax
- (847) 679-8657
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
4711 Golf Rd
Suite 100
Skokie, IL 60076-1224
Mailing address
1234 Elmwood Ave
Unit 2D
Evanston, IL 60202-1200
Phone (847) 570-5967
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 |
|---|---|---|---|
| 146007362 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356474290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 ELMWOOD AVE",
"address_2": "UNIT 2D",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021200",
"telephone_number": "847-570-5967",
"fax_number": "847-679-8657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "SUITE 100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-679-8635",
"fax_number": "847-679-8657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.