Active NPI
Lesley Caroline Milam
- Speech-Language Pathologist
- Chenoa, IL
National Provider Identifier
1649649906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242003649
- Practice address
- 24588 Church St
Chenoa, IL 61726-9395 - Phone
- (309) 747-2702
- NPI assigned
- Sep 16, 2015
- 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 | 242003649 | IL | Primary |
Addresses
Primary practice location
24588 Church St
Chenoa, IL 61726-9395
Mailing address
108 N Blair Dr
Normal, IL 61761-1816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Evergreen Blvd
Normal, IL 61761-7802
Phone (732) 994-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242003649 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750
1701 Evergreen Blvd
Normal, IL 61761
Phone (309) 451-9355
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
Organizations & group practices 2
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.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
IL, Speech-Language Pathologist
-
- Physical Therapist
- Savoy, IL
- NPI 1992078471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1649649906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N BLAIR DR",
"city": "NORMAL",
"state": "IL",
"postal_code": "617611816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24588 CHURCH ST",
"city": "CHENOA",
"state": "IL",
"postal_code": "617269395",
"telephone_number": "309-747-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "LESLEY",
"middle_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242003649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chenoa, IL
- Letitride Inc (Chenoa rx)
- Lynn Ann Martie, MS CCC-SLP
- Meadows Mennonite Retirement Community (Show Bus Meadows)
- Meadows Mennonite Retirement Community Association, Inc. (Meadows Mennonite Home)
- Jeffrey Medema, ST
- Anna Margaret Rodriguez
- Saint James Hospital (OSF Medical Group-Chenoa)
- Show Bus Public Transportation NFP
- Robert A. Tripke, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.