Stacie Lynn Vodopivec

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1860 W Winchester Rd
Suite 108
Libertyville, IL 60048-5351

Phone

(847) 573-9486

Fax

(847) 549-6139

NPI assigned

Jul 12, 2007

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1548469356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 W WINCHESTER RD",
            "address_2": "SUITE 108",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485351",
            "telephone_number": "847-573-9486",
            "fax_number": "847-549-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 W WINCHESTER RD",
            "address_2": "SUITE 108",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485351",
            "telephone_number": "847-573-9486",
            "fax_number": "847-549-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODOPIVEC",
        "first_name": "STACIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village of Libertyville
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• Speech-Language Pathologist in Libertyville, IL
• Providers in Libertyville, 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 Jul 12, 2007; 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.