Active NPI
Vivian Baader, MHS, CCC-SLP/L
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1437557535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146009021
- Practice address
- 11053 S Millard Ave
Chicago, IL 60655-3327 - Phone
- (773) 253-9856
- NPI assigned
- Dec 5, 2014
- Last updated
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 146009021 | IL | Primary |
Addresses
Primary practice location
11053 S Millard Ave
Chicago, IL 60655-3327
Mailing address
11053 S Millard Ave
Chicago, IL 60655-3327
Phone (773) 253-9856
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146009021 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1437557535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11053 S MILLARD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606553327",
"telephone_number": "773-253-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11053 S MILLARD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606553327",
"telephone_number": "773-253-9856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAADER",
"first_name": "VIVIAN",
"credential": "MHS, CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146009021",
"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 Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.