Ellie Kirchberg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242007411 Issued in IL

Practice address

9375 W Church St
Des Plaines, IL 60016-4271

Phone

(847) 824-5165

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

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": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1528875713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 CRYSTAL CIR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122209",
            "telephone_number": "815-575-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 W CHURCH ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164271",
            "telephone_number": "847-824-5165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "847-723-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRCHBERG",
        "first_name": "ELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242007411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Kim
• Rachel Kim, PHARMD
• Shelley S Kim, O.D.
• Rachel Kimbrough
• Elizabeth Louise Lockhart King, MS, CCC-SLP
• Joseph Kirshenbaum, RPH
• Victoria Klem, ANP-C
• Michael Steven Klemm, M.A., LPC
• Jessica Klier, PHARMD
• Amy Judd Knize, MA, LCPC

• Speech-Language Pathologist in Des Plaines, IL
• Providers in Des Plaines, 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 Dec 12, 2024; 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.