Active NPI
Emily Block
- Speech-Language Pathologist
- Lake in the Hills, IL
National Provider Identifier
1376854265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146010265
- Practice address
- 4371 Princeton LN
Lake in the Hills, IL 60156-6755 - Phone
- (630) 346-5728
- Fax
- (224) 256-2076
- NPI assigned
- Jun 25, 2010
- 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 | 146010265 | IL | Primary |
Addresses
Primary practice location
4371 Princeton LN
Lake in the Hills, IL 60156-6755
Mailing address
4371 Princeton LN
Lake in the Hills, IL 60156-6755
Phone (630) 346-5728
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146010265 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1376854265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 PRINCETON LN",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566755",
"telephone_number": "630-346-5728",
"fax_number": "224-256-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 PRINCETON LN",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566755",
"telephone_number": "630-346-5728",
"fax_number": "224-256-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146010265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.