Olga Vydra, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1515 Monroe Ave
River Forest, IL 60305-1129

Phone

(312) 805-1616

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jewish Child and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1427018209
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710021852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MONROE AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051129",
            "telephone_number": "312-805-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MONROE AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051129",
            "telephone_number": "312-805-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYDRA",
        "first_name": "OLGA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VHS Acquisition Subsidiary Number 4 Inc
• VHS West Suburban Medical Center Inc
• Village of River Forest
• Courtney R Villari, DDS
• Viva Physical Therapy, LLC
• Walgreen Co
• Katherine Ann Walsh, M.D.
• Marie T Walsh, DDS
• Natori Walters, MA
• Margaret Helen Ward

• Speech-Language Pathologist in River Forest, IL
• Providers in River Forest, 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 Jul 8, 2007; 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.