Nicole Sebo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242004608 Issued in IL

Practice address

16W631 91St St
Willowbrook, IL 60527-6126

Phone

(630) 734-7114

NPI assigned

Dec 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Consol SCH Dist 180

  • Local Education Agency (LEA)
  • Burr Ridge, IL
  • NPI 1992839187
  NPD (past)

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649785973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15W451 91ST ST",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16W631 91ST ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605276126",
            "telephone_number": "630-734-7114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15W451 91st St",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605276379",
            "country_code": "US",
            "telephone_number": "630-734-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBO",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242004608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Schmaedeke
• Ausrine Schneider, DDS
• Patricia A Schneider, CNM
• Brady James Schuyler, D.C.
• Eileen Sears
• Carl F. Semrau, D.D.S.
• Marisa Gonzalez Seper, MSW
• Aayush Shah, DPT
• Tejal Shah
• Yahia Sharbaji

• Speech-Language Pathologist in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.