Individual provider Active NPI

Denise Ann Lazowski, M.H.S., SLP-CCC

  • Speech-Language Pathologist
  • Palos Heights, IL
National Provider Identifier
1396258166
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146013814 Issued in IL
Practice address
440 Shadow Creek Dr
Palos Heights, IL 60463-2912
Phone
(708) 207-2277
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146013814 IL Primary

Addresses

Primary practice location

440 Shadow Creek Dr
Palos Heights, IL 60463-2912

Mailing address

440 Shadow Creek Dr
Palos Heights, IL 60463-2912

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
146013814ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1396258166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SHADOW CREEK DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SHADOW CREEK DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632912",
            "telephone_number": "708-207-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZOWSKI",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "credential": "M.H.S.,  SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.