Active NPI
Heather Diane Connelly, SLP
- Speech-Language Pathologist
- Schaumburg, IL
National Provider Identifier
1669667291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146009223
- Practice address
- 207 W Hartford Dr
Schaumburg, IL 60193-3943 - Phone
- (630) 394-9985
- NPI assigned
- Sep 6, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242000436 | IL | |
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 146009223 | IL | Primary |
Addresses
Primary practice location
207 W Hartford Dr
Schaumburg, IL 60193-3943
Mailing address
207 W Hartford Dr
Schaumburg, IL 60193-3943
Phone (630) 248-7006
Other practice location 1
200 N Berteau Ave
Elmhurst, IL 60126-2966
Phone (630) 782-4950
Other practice location 2
130 S Main St
Lombard, IL 60148-2670
Phone (331) 221-5940
Other names 1
- Ms. Heather Diane Sawyer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146009223 | IL | MD | Speech-Language Pathologist |
| 242000436 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myo Place Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Speech Bites Therapy PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
799 Roosevelt Rd
Bldg 6
Glen Ellyn, IL 60137
Phone (630) 201-4786
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.
-
- Speech-Language Pathologist
- Lombard, IL
- NPI 1902438997
-
- Speech-Language Pathologist
- Glen Ellyn, IL
- NPI 1013801596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1669667291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W HARTFORD DR",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933943",
"telephone_number": "630-248-7006",
"fax_number": "630-248-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W HARTFORD DR",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933943",
"telephone_number": "630-394-9985"
}
],
"practiceLocations": [
{
"address_1": "200 N Berteau Ave",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "IL",
"postal_code": "601262966",
"country_code": "US",
"telephone_number": "630-782-4950",
"fax_number": "630-833-8563",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 S Main St",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601482670",
"country_code": "US",
"telephone_number": "331-221-5940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNELLY",
"first_name": "HEATHER",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242000436",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146009223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "SAWYER",
"middle_name": "DIANE",
"prefix": "MS.",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
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 May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.