Individual provider Active NPI

Elizabeth D Guitreau, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1699156240
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242003070 Issued in IL
Practice address
2115 N Sedgwick St
Apt 3C
Chicago, IL 60614-4778
Phone
(225) 323-2156
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242003070 IL Primary
Speech-Language Pathologist 235Z00000X 7106 LA

Addresses

Primary practice location

2115 N Sedgwick St
Apt 3C
Chicago, IL 60614-4778

Mailing address

2115 N Sedgwick St
Apt 3C
Chicago, IL 60614-4778
Phone (225) 323-2156

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7106LAMDProfessional Counselor
242003070ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1699156240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N SEDGWICK ST",
            "address_2": "APT 3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144778",
            "telephone_number": "225-323-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N SEDGWICK ST",
            "address_2": "APT 3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144778",
            "telephone_number": "225-323-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITREAU",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242003070",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.