Individual provider Active NPI

Amil Tariq, ST

  • Speech-Language Pathologist
  • Orland Park, IL
National Provider Identifier
1710139811
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242001061 Issued in IL
Practice address
11411 W 183Rd St
Suite B
Orland Park, IL 60467-9450
Phone
(708) 478-1820
Fax
(708) 478-3316
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242001061 IL Primary

Addresses

Primary practice location

11411 W 183Rd St
Suite B
Orland Park, IL 60467-9450

Mailing address

11411 W 183Rd St
Suite B
Orland Park, IL 60467-9450
Phone (708) 478-1820

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

LicenseStateTypeSpecialty
242001061ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bautz Developmental Intervention Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1710139811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 W 183RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679450",
            "telephone_number": "708-478-1820",
            "fax_number": "708-478-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 W 183RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679450",
            "telephone_number": "708-478-1820",
            "fax_number": "708-478-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "AMIL",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242001061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.