Individual provider Active NPI

Corey Michelle Friedli, CF-SLP

  • Speech-Language Assistant
  • Chicago, IL
National Provider Identifier
1376941161
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
242.003108 Issued in IL
Practice address
3136 S Prairie Ave Apt 2
Chicago, IL 60616-3904
Phone
(402) 870-1605
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 242.003108 IL Primary

Addresses

Primary practice location

3136 S Prairie Ave Apt 2
Chicago, IL 60616-3904

Mailing address

3136 S Prairie Ave Apt 2
Chicago, IL 60616-3904
Phone (402) 870-1605

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

LicenseStateTypeSpecialty
242.003108ILMDSpeech-Language Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1376941161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 S PRAIRIE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163904",
            "telephone_number": "402-870-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 S PRAIRIE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163904",
            "telephone_number": "402-870-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLI",
        "first_name": "COREY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": "242.003108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.