Active NPI
Jessica Sikora
- Speech-Language Pathologist
- Crystal Lake, IL
National Provider Identifier
1487332292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.007193
- Practice address
- 875 S. Route 31
Crystal Lake, IL 60014 - Phone
- (888) 396-3729
- NPI assigned
- Jul 11, 2023
- 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 | 242.007193 | IL | Primary |
Addresses
Primary practice location
875 S. Route 31
Crystal Lake, IL 60014
Mailing address
875 S. Route 31
Crystal Lake, IL 60014-2940
Phone (779) 220-5500
Other practice location 1
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-2961
Other practice location 2
1000 N Hayes St
Harvard, IL 60033-1828
Phone (815) 943-2975
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.007193 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1487332292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 S. ROUTE 31",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600142940",
"telephone_number": "779-220-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 S. ROUTE 31",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "60014",
"telephone_number": "888-396-3729"
}
],
"practiceLocations": [
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-2961",
"fax_number": "815-943-7789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Hayes St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331828",
"country_code": "US",
"telephone_number": "815-943-2975",
"fax_number": "815-973-5470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIKORA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2023-10-23",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.007193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.