Individual provider Active NPI

Andriani Christoforou

  • Speech-Language Pathologist
  • Morton Grove, IL
National Provider Identifier
1437970563
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.017808 Issued in IL
Practice address
8701 Menard Ave
Morton Grove, IL 60053-3052
Phone
(847) 965-9040
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 146.017808 IL Primary

Addresses

Primary practice location

8701 Menard Ave
Morton Grove, IL 60053-3052

Mailing address

650 Versailles Cir Unit a
Elk Grove Village, IL 60007-3569
Phone (847) 922-9358

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

LicenseStateTypeSpecialty
146.017808ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Niles TWP Dept of SP Ed PastSince Oct 27, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1437970563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 VERSAILLES CIR UNIT A",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073569",
            "telephone_number": "847-922-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 MENARD AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533052",
            "telephone_number": "847-965-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOFOROU",
        "first_name": "ANDRIANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.