Marli Jaclyn Chavkin, MS, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

807 Chicago Ave
Evanston, IL 60202-2357

Phone

(847) 969-5977

Fax

(844) 668-4621

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Synapse Early Intervention P.C.

  • Speech-Language Pathologist
  • Evanston, IL
  • NPI 1699417329
  NPD
• Synapse Pediatric Therapy PLLC

  • Occupational Therapist
  • Evanston, IL
  • NPI 1891223509

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1386427672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 CHICAGO AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022357",
            "telephone_number": "847-969-5977",
            "fax_number": "844-668-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CHICAGO AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022357",
            "telephone_number": "847-969-5977",
            "fax_number": "844-668-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVKIN",
        "first_name": "MARLI",
        "middle_name": "JACLYN",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit M. Chaudhari, APN-CNP
• Hamza Chaudhry, MD
• Padmini Singh Chauhan
• Harshala Chavan
• Melissa Chavez
• Irene J Checks, PHD
• Carl Levan Cheeks, DDS
• Lynn G Chehab, MD
• Robert Chelnick, PHD
• Charles H Chen, DDS

• Speech-Language Pathologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.