Individual provider Active NPI

Vilija Kilikevicius

  • Speech-Language Pathologist
  • Orland Park, IL
National Provider Identifier
1689091142
Registry record updated Mar 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.012038 Issued in IL
Practice address
9240 W 147TH St
Orland Park, IL 60462-2710
Phone
(708) 966-9595
NPI assigned
Mar 23, 2014
Last updated
Mar 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2014

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 146.012038 IL Primary

Addresses

Primary practice location

9240 W 147TH St
Orland Park, IL 60462-2710

Mailing address

9240 W 147TH St
Orland Park, IL 60462-2710
Phone (708) 966-9595

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

LicenseStateTypeSpecialty
146.012038ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1395532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395532800000",
    "number": "1689091142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 W 147TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622710",
            "telephone_number": "708-966-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 W 147TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622710",
            "telephone_number": "708-966-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILIKEVICIUS",
        "first_name": "VILIJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-23",
        "last_updated": "2014-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.012038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2014; 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.