Individual provider Active NPI

Andrzej Lewandowski, CCC-SLP, MHS

  • Speech-Language Pathologist
  • Schiller Park, IL
National Provider Identifier
1629562459
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.014096 Issued in IL
Practice address
9950 Lawrence Ave Ste 309
Schiller Park, IL 60176-1216
Phone
(847) 999-3990
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 146.014096 IL Primary

Addresses

Primary practice location

9950 Lawrence Ave Ste 309
Schiller Park, IL 60176-1216

Mailing address

9950 Lawrence Ave Ste 309
Schiller Park, IL 60176-1216
Phone (847) 999-3990

Other identifiers 1

IdentifierTypeStateIssuer
146.014096OtherILIDFPR

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

LicenseStateTypeSpecialty
146.014096ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dempster Therapeutic Services LLC Speech-Language Pathologist CurrentSince Jan 28, 2024 Accepting new patients

Locations

6321 Dempster St
Morton Grove, IL 60053

9950 Lawrence Ave
Ste 309
Schiller Park, IL 60176
Phone (847) 999-3990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1629562459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 LAWRENCE AVE STE 309",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761216",
            "telephone_number": "847-999-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 LAWRENCE AVE STE 309",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761216",
            "telephone_number": "847-999-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "ANDRZEJ",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP, MHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "146.014096",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schiller Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.