Suzanne Parwanneh Bolur

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

217.000263 Issued in IL

Practice address

1620 N Lasalle St
Chicago, IL 60614-6005

Phone

(312) 943-3600

NPI assigned

Oct 29, 2011

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

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": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1487930889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 E PENNSYLVANIA DR APT 6",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600741984",
            "telephone_number": "630-699-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N LASALLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146005",
            "telephone_number": "312-943-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLUR",
        "first_name": "SUZANNE",
        "middle_name": "PARWANNEH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": "217.000263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doug Bolton, PH.D.
• Elizabeth Miller Bolton
• Katherine Ann Bolton, LCSW, CADC
• Ryan J Bolton, MD
• Matthew Gregory Boltz
• Victoria Bolyard, O.D.
• Monica Elizabeth Bomben, APRN, CNP
• Cara Bomkamp
• Kalki Bommaraju, MD, MPH
• Alexandra Bommer

• Speech-Language Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.