Sarah Fields

Individual provider Active NPI Speech-Language Pathologist · Alsip, IL

NPI 1699546267 · NPPES record last updated Jan 12, 2024

Key facts

NPI
1699546267
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242007628 (IL)
Practice address
11900 S Kostner Ave
Alsip, IL 60803-2307
Phone
(708) 389-1900
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
242007628ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alsip Hazelgreen Oaklawn Dist Past
since Jan 14, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242007628 IL Yes

Addresses

Primary practice location

11900 S Kostner Ave
Alsip, IL 60803-2307

Mailing address

6520 157TH St
Oak Forest, IL 60452-2606

Other providers in Alsip, IL

All providers in Alsip, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.