Jacqueline Anne Rudewicz, M.S.P. CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.009450 Issued in IL

Practice address

434 W Wellington Ave
Apt. 308
Chicago, IL 60657-5820

Phone

(352) 665-0326

NPI assigned

Sep 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jacqueline Anne Seims Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1700036563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W WELLINGTON AVE",
            "address_2": "APT. 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575820",
            "telephone_number": "352-665-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W WELLINGTON AVE",
            "address_2": "APT. 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575820",
            "telephone_number": "352-665-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEWICZ",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S.P. CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SEIMS",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "M.S.P. CCC-SLP/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Noell Rudd, PHD
• David Francis Rudd, D.D.S.
• Walter Rudek, M.D.
• Alexandra R Rudenga, DPT
• Eric Ruderman, MD
• Lindsay H Rudhman, PA-C
• Perry Rudich, MD
• Elizabeth Rudigier
• Tslilia Rudinski, LCSW
• Brian Rudinsky, M.D.

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.