Catherine Clark, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146011716 Issued in IL

Practice address

12700 Sacramento Ave
Blue Island, IL 60406-1822

Phone

(708) 597-6300

NPI assigned

Sep 13, 2017

Last updated

Sep 13, 2017By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1407375264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 S LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553233",
            "telephone_number": "773-318-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SACRAMENTO AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061822",
            "telephone_number": "708-597-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vane Swetah Chockalingam Senthilvel, BDS
• Lee R Christensen, M.D.
• Michelle Elizabeth Churchey-Mims, MA
• Aubrey Lynn Ciesiun
• City of Blue Island (Blue Island Fire Department)
• Julisa Clark
• Colten Dean Coffin, MA, LCSW
• Arlease Coleman, C.F.P.P.
• Melissa Coleman
• Randi Coley, CADC

• Speech-Language Pathologist in Blue Island, IL
• Providers in Blue Island, 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 Sep 13, 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.