NPIMap

Organization Active NPI

Amber Wilkins

  • Speech-Language Pathologist
  • Downers Grove, IL
National Provider Identifier
1639486095
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.001458 Issued in IL
Legal business name
AMBER WILKINS
Practice address
4923 Main St
Downers Grove, IL 60515-3654
Phone
(630) 929-0122
NPI assigned
Sep 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Mrs. Amber Rae Wilkins, M.S. CF-SLPNPI 1770849267
Title
Speech Language Pathologist
Phone
(708) 539-4457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 242.001458 IL Primary

Addresses

Primary practice location

4923 Main St
Downers Grove, IL 60515-3654

Mailing address

17212 Oak Park Ave Unit 2SW
Tinley Park, IL 60477-3653
Phone (708) 539-4457

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1639486095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17212 OAK PARK AVE UNIT 2SW",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773653",
            "telephone_number": "708-539-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153654",
            "telephone_number": "630-929-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER WILKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "708-539-4457",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CF-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.001458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.