Active NPI
Julie Anne Harris
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1518355072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.009887
- Practice address
- 3343 N Leavitt St Apt 2
Chicago, IL 60618-6242 - Phone
- (847) 338-0972
- NPI assigned
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 146.009887 | IL | Primary |
Addresses
Primary practice location
3343 N Leavitt St Apt 2
Chicago, IL 60618-6242
Mailing address
3343 N Leavitt St
Unit #2
Chicago, IL 60618-6242
Phone (847) 338-0972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35212680 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009887 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1518355072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3343 N LEAVITT ST",
"address_2": "UNIT #2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186242",
"telephone_number": "847-338-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3343 N LEAVITT ST APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186242",
"telephone_number": "847-338-0972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JULIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.009887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35212680",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.