Individual provider Active NPI

Carryl Sher, MA CCC-SLP/L

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1598930935
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146-005299 Issued in IL
Practice address
919 N Wolcott Ave Apt 201
Chicago, IL 60622-7229
Phone
(773) 398-7873
Fax
(773) 486-4177
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146-005299 IL Primary

Addresses

Primary practice location

919 N Wolcott Ave Apt 201
Chicago, IL 60622-7229

Mailing address

919 N Wolcott Ave Apt 201
Chicago, IL 60622-7229
Phone (773) 398-7873

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146-005299ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sure Start Developmental Services, Inc Speech-Language Pathologist Past Accepting new patients
Sure Start Developmental Services, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1598930935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N WOLCOTT AVE APT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227229",
            "telephone_number": "773-398-7873",
            "fax_number": "773-486-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N WOLCOTT AVE APT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227229",
            "telephone_number": "773-398-7873",
            "fax_number": "773-486-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHER",
        "first_name": "CARRYL",
        "credential": "MA CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-005299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.