Active NPI
Carolyn Ann Thielmann, M.S.
- Speech-Language Pathologist
- Mokena, IL
National Provider Identifier
1639320757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.000823
- Practice address
- 19100 Crescent Dr
Suite 101
Mokena, IL 60448-7510 - Phone
- (708) 478-5400
- NPI assigned
- Oct 7, 2008
- Sex
- Female
- 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 | 242.000823 | IL | Primary |
Addresses
Primary practice location
19100 Crescent Dr
Suite 101
Mokena, IL 60448-7510
Mailing address
19869 Lakeview Way
Mokena, IL 60448-7716
Phone (708) 995-5128
Other names 1
- Carolyn Ann Ryczek
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.000823 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Can DO, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1639320757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19869 LAKEVIEW WAY",
"city": "MOKENA",
"state": "IL",
"postal_code": "604487716",
"telephone_number": "708-995-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19100 CRESCENT DR",
"address_2": "SUITE 101",
"city": "MOKENA",
"state": "IL",
"postal_code": "604487510",
"telephone_number": "708-478-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIELMANN",
"first_name": "CAROLYN",
"middle_name": "ANN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.000823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "RYCZEK",
"middle_name": "ANN",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.