Active NPI
Gretchen Marie Olson
- Speech-Language Pathologist
- Glenview, IL
National Provider Identifier
1538442249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.002087
- Practice address
- 1308 Waukegan Rd
Suite #103
Glenview, IL 60025-3070 - Phone
- (877) 486-4140
- Fax
- (847) 486-4145
- NPI assigned
- Sep 20, 2011
- Last updated
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 242.002087 | IL | Primary |
Addresses
Primary practice location
1308 Waukegan Rd
Suite #103
Glenview, IL 60025-3070
Mailing address
1308 Waukegan Rd
Suite #103
Glenview, IL 60025-3070
Phone (877) 486-4140
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.002087 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorycare Corporation | Speech-Language Pathologist | Current | Accepting new patients |
| Pediatric Therapy | Past | Accepting new patients | |
| North Shore Pediatric Therapy | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Aurora, IL
- NPI 1609193515
-
- Pediatric Occupational Therapist
- Glenview, IL
- NPI 1811909492
Speech-Language Pathologist
-
- Developmental Disabilities Clinic/Center
- Glenview, IL
- NPI 1093011579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1538442249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 WAUKEGAN RD",
"address_2": "SUITE #103",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253070",
"telephone_number": "877-486-4140",
"fax_number": "847-486-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 WAUKEGAN RD",
"address_2": "SUITE #103",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253070",
"telephone_number": "877-486-4140",
"fax_number": "847-486-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "GRETCHEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.002087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.