Active NPI
Ann Bulmash Selin, M.A.
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1407029226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2710 N Clark St
Chicago, IL 60614-1503 - Phone
- (773) 244-0005
- NPI assigned
- Apr 13, 2008
- 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 | IL | Primary |
Addresses
Primary practice location
2710 N Clark St
Chicago, IL 60614-1503
Mailing address
1307 S Wabash Ave
Apt. 401
Chicago, IL 60605-2620
Phone (312) 435-9208
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146001225 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208044800000",
"number": "1407029226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 S WABASH AVE",
"address_2": "APT. 401",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052620",
"telephone_number": "312-435-9208",
"fax_number": "312-435-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141503",
"telephone_number": "773-244-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIN",
"first_name": "ANN",
"middle_name": "BULMASH",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-13",
"last_updated": "2008-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"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 Apr 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.