Active NPI
Jennie Lynn Ostrander, M.A.
- Speech-Language Pathologist
- Lake Zurich, IL
National Provider Identifier
1700034865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242000868
- Practice address
- 350 Surryse Rd
Suite 250
Lake Zurich, IL 60047-3217 - Phone
- (847) 842-4057
- Fax
- (847) 842-4059
- NPI assigned
- Sep 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242000868 | IL | Primary |
Addresses
Primary practice location
350 Surryse Rd
Suite 250
Lake Zurich, IL 60047-3217
Mailing address
350 Surryse Rd
Suite 250
Lake Zurich, IL 60047-3217
Phone (847) 842-4057
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242000868 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1700034865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SURRYSE RD",
"address_2": "SUITE 250",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600473217",
"telephone_number": "847-842-4057",
"fax_number": "847-842-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SURRYSE RD",
"address_2": "SUITE 250",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600473217",
"telephone_number": "847-842-4057",
"fax_number": "847-842-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTRANDER",
"first_name": "JENNIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242000868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.