Alphonso J Slaughter Jr., MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146006740 Issued in IL

Practice address

88 Graymoor LN
Olympia Fields, IL 60461-1214

Phone

(708) 612-2590

NPI assigned

Apr 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1528384658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 GRAYMOOR LN",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611214",
            "telephone_number": "708-612-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 GRAYMOOR LN",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611214",
            "telephone_number": "708-612-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "ALPHONSO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004828A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Van Siatras, D.O.
• James J Siegert, D.O.
• Navneet Singh, M.D.
• Jeanan Sirhan, OD
• Kira Slager, PTA
• Alyson Brooke Smith, DO
• Beverly Ann Smith, LCSW
• Cheri Lynn Smith, MHS-CCC SLP
• Shani Kamaria Smith, D.O., M.B.A.
• Zakette Smith

• Speech-Language Pathologist in Olympia Fields, IL
• Providers in Olympia Fields, 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 Apr 14, 2010; 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.