Individual provider Active NPI

Julie Staresinich, M.S.

  • Speech-Language Pathologist
  • Oak Lawn, IL
National Provider Identifier
1487399945
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146007369 Issued in IL
Practice address
10701 Kilpatrick Ave
Oak Lawn, IL 60453-6200
Phone
(708) 424-2000
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 146007369 IL Primary

Addresses

Primary practice location

10701 Kilpatrick Ave
Oak Lawn, IL 60453-6200

Mailing address

10800 S Kilbourn Ave
Oak Lawn, IL 60453-5731
Phone (708) 269-2755

Other practice location 1

3700 W 103rd St
Chicago, IL 60655-3105
Phone (773) 298-3571

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146007369ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Worth Township School Treasurer PastSince May 1, 2022 Accepting new patients
Community High School Dist 218 PastSince May 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1487399945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 S KILBOURN AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535731",
            "telephone_number": "708-269-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 KILPATRICK AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536200",
            "telephone_number": "708-424-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 W 103rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606553105",
            "country_code": "US",
            "telephone_number": "773-298-3571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARESINICH",
        "first_name": "JULIE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.