Active NPI
Sharon T Rzyski, SLP
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1700908712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146006840
- Practice address
- 7023 N Wolcott Ave # 3
Chicago, IL 60626-2311 - Phone
- (773) 771-9555
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 146006840 | IL | Primary |
Addresses
Primary practice location
7023 N Wolcott Ave # 3
Chicago, IL 60626-2311
Mailing address
7023 N Wolcott Ave # 3
Chicago, IL 60626-2311
Phone (773) 771-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636839 | Other | IL | BLUE SHIELD PROVIDER NUM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146006840 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1700908712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 N WOLCOTT AVE # 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606262311",
"telephone_number": "773-771-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 N WOLCOTT AVE # 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606262311",
"telephone_number": "773-771-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RZYSKI",
"first_name": "SHARON",
"middle_name": "T",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146006840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUM",
"identifier": "01636839",
"state": "IL"
}
],
"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 Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.