St. Xaxier University

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

146.001000 Issued in IL

Legal business name

ST. XAXIER UNIVERSITY

Practice address

3825 W 103Rd St
Chicago, IL 60655-3700

Phone

(773) 298-3559

NPI assigned

Jan 24, 2012

Last updated

Jan 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Marie Mackowiak, M.S.

Title

Speech/Language Pathology Clinical

Phone

(773) 298-3559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1689945578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553700",
            "telephone_number": "773-298-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553700",
            "telephone_number": "773-298-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. XAXIER UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "MACKOWIAK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGY CLINICAL",
        "authorized_official_telephone_number": "773-298-3559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "146.001000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Pauls Corporation (St. Pauls House and Health Care Center)
• Anne Patrice St. Peter, PT, DPT
• Rachael Michelle St. Peter I, DPM
• Aimee M St. Pierre, APN, PMHNP-BC
• Emily St. Pierre, RD, LDN
• Erin Staab
• Stephen Salvatore Stabile, M.D.
• Stability Medical Supplies LLC
• Stability Physical Therapy and Wellness, LLC
• Victoria L Stabinski, APRN, CNP

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.