Julie Lundy, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146004527 Issued in IL

Practice address

4918 W 106TH St
Oak Lawn, IL 60453-5235

Phone

(773) 771-2067

NPI assigned

Mar 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1487788683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 W 106TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535235",
            "telephone_number": "773-771-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 W 106TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535235",
            "telephone_number": "773-771-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "JULIE",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Luke, MD
• Mary Ann Lukin, LAC
• Alexis Shavone Lumpkin, NURSE
• Lumy Dental Inc.
• Cara Lundy, MS, RDN, LDN
• Susan Thayer Lyon, M.D.
• Di Ma, M.D.
• Lindsey G Mabry, D.O.
• Sarah Jane Maciolek, APN
• James G. Mackenzie, D.O.

• Speech-Language Pathologist in Oak Lawn, IL
• Providers in Oak Lawn, 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 Nov 19, 2012; 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.