Jamie Sanberg

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

314 N Warwick Ave Apt 2C
Westmont, IL 60559-1583

Phone

(630) 346-9171

NPI assigned

Mar 14, 2019

Sex

Male

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

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1548729148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N WARWICK AVE APT 2C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591583",
            "telephone_number": "630-346-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N WARWICK AVE APT 2C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591583",
            "telephone_number": "630-346-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBERG",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Assistant in Westmont, IL
• Providers in Westmont, IL by specialty
• Speech-Language Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.