Active NPI
Anthony Joseph Demma, MHS CCC-SLP/L
- Speech-Language Pathologist
- Evergreen Park, IL
National Provider Identifier
1609385699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146005765
- Practice address
- 9800 S Francisco Ave
Evergreen Park, IL 60805-2624 - Phone
- (708) 422-1021
- NPI assigned
- Sep 22, 2017
- Sex
- Male
- 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 | 146005765 | IL | Primary |
Addresses
Primary practice location
9800 S Francisco Ave
Evergreen Park, IL 60805-2624
Mailing address
9800 S Francisco Ave
Evergreen Park, IL 60805-2624
Phone (708) 422-1021
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146005765 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1609385699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 S FRANCISCO AVE",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052624",
"telephone_number": "708-422-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 S FRANCISCO AVE",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052624",
"telephone_number": "708-422-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMMA",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Mrs.",
"credential": "MHS CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-22",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146005765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.