Individual provider Active NPI

Esther Marsha Nitzarim, M.S., CCC, SPL

  • Speech-Language Pathologist
  • Glencoe, IL
National Provider Identifier
1407049976
Registry record updated Aug 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146-002309 Issued in IL
Practice address
111 Hogarth LN
Glencoe, IL 60022-1325
Phone
(847) 835-0660
Fax
(847) 835-0670
NPI assigned
Aug 19, 2007
Last updated
Aug 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2007

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 146-002309 IL Primary

Addresses

Primary practice location

111 Hogarth LN
Glencoe, IL 60022-1325

Mailing address

7443 Kildare Ave
Skokie, IL 60076-3821
Phone (847) 933-0229

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 Science

State licenses

LicenseStateTypeSpecialty
146-002309ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Therapy Associates LTD Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187481600000",
    "number": "1407049976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7443 KILDARE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763821",
            "telephone_number": "847-933-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOGARTH LN",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221325",
            "telephone_number": "847-835-0660",
            "fax_number": "847-835-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZARIM",
        "first_name": "ESTHER",
        "middle_name": "MARSHA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC, SPL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-19",
        "last_updated": "2007-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-002309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; 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.