Individual provider Active NPI

Elizabeth Oliverio, MA, CCC-SLP

  • Speech-Language Pathologist
  • Schaumburg, IL
National Provider Identifier
1639460314
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242001771 Issued in IL
Practice address
524 E Schaumburg Rd
Schaumburg, IL 60194
Phone
(847) 357-5000
Fax
(847) 357-5010
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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 242001771 IL Primary

Addresses

Primary practice location

524 E Schaumburg Rd
Schaumburg, IL 60194

Mailing address

7842 Kensington LN
Hanover Park, IL 60133-2629
Phone (630) 965-1373

Other practice location 1

1 Tiffany Pt
Suite 114
Bloomingdale, IL 60108-2936
Phone (630) 351-2941

Other practice location 2

50 S Main St Ste 200
Naperville, IL 60540-5485
Phone (630) 518-2525

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
242001771ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
School District 54 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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1639460314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7842 KENSINGTON LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332629",
            "telephone_number": "630-965-1373",
            "fax_number": "855-518-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60194",
            "telephone_number": "847-357-5000",
            "fax_number": "847-357-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Tiffany Pt",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601082936",
            "country_code": "US",
            "telephone_number": "630-351-2941",
            "fax_number": "630-351-2526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 S Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405485",
            "country_code": "US",
            "telephone_number": "630-518-2525",
            "fax_number": "855-518-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242001771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.