Tracy Lynn Wannemacher, MS CCC SLPL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1001 East Chicago Avenue
Suite 151
Naperville, IL 60540

Phone

(630) 305-4196

Fax

(630) 305-4785

NPI assigned

Nov 21, 2006

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

State licenses

Practice roles

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.

• Wannemacher Therapy Services, P.C.

  • Speech-Language Pathologist
  • Romeoville, IL
  • NPI 1740427400
  NPD (past) Authorized official
• Little Friends

  • Speech-Language Pathologist
  • Warrenville, IL
  • NPI 1992873038
  NPD (past)
• Little Friends Center for Autism, Inc.

  • Community/Behavioral Health Agency
  • Naperville, IL
  • NPI 1194959767
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417022138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 PULLMAN RD",
            "address_2": "APT 304",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "60446",
            "telephone_number": "815-260-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EAST CHICAGO AVENUE",
            "address_2": "SUITE 151",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-305-4196",
            "fax_number": "630-305-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNEMACHER",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MS CCC SLPL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ping Wang, PTA
• Tom Wang, MD
• Yibin Wang
• Yilin Wang, M.S., OTR
• Yuxin Wang
• Warby Parker Inc.
• Malisa Lynn Ward
• Najibullah Hafiz Wardak, PHARMD
• Austin Warden
• Nicole M Ware, APN

• Speech-Language Pathologist in Naperville, IL
• Providers in Naperville, 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 Jul 8, 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.