Active NPI
Miriam Ann Carroll-Alfano, SLP
- Speech-Language Pathologist
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.006653
- Practice address
- 3450 Lacey Rd
Downers Grove, IL 60515-5430 - Phone
- (630) 743-4500
- NPI assigned
- Jul 18, 2009
- 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 | 146.006653 | IL | Primary |
Addresses
Primary practice location
3450 Lacey Rd
Downers Grove, IL 60515-5430
Mailing address
555 31St St
Downers Grove, IL 60515-1235
Phone (630) 515-6428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone (630) 743-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.006653 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | Current | Accepting new patients | |
| Midwestern University | Current | Accepting new patients | |
| Midwestern University | Speech-Language Pathologist | Current | Accepting new patients |
| Midwestern University | Past | Accepting new patients |
Locations
26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500
3450 Lacey Rd
Downers Grove, IL 60515
Phone (630) 743-4500
3450 Lacey Rd
Ste 602
Downers Grove, IL 60515
Phone (630) 743-4500
555 31st St
Downers Grove, IL 60515
Phone (630) 971-6080
3450 Lacey Rd
Ste 211
Downers Grove, IL 60515
Phone (630) 743-4500
Interoperability endpoints
- https://epicproxy.et1329.epichosted.com/APIProxyPRD/HOME/api/FHIR/R4
Organizations & group practices 4
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.
-
- Clinic/Center
- Downers Grove, IL
- NPI 1538445317
-
- Speech-Language Pathologist
- Downers Grove, IL
- NPI 1033558952
-
- Optometrist
- Downers Grove, IL
- NPI 1295126324
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1932206414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1356571806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 31ST ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151235",
"telephone_number": "630-515-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 LACEY RD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605155430",
"telephone_number": "630-743-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL-ALFANO",
"first_name": "MIRIAM",
"middle_name": "ANN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-18",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.006653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.