Cheryl Denise Douglas, SLP-CCC/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146004378 Issued in IL

Practice address

10438 S Maryland Ave
Chicago, IL 60628-3090

Phone

(773) 552-1670

NPI assigned

Jun 20, 2011

Last updated

Jun 20, 2011By the provider in NPPES

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

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1720373640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10438 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283090",
            "telephone_number": "773-552-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10438 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283090",
            "telephone_number": "773-552-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CHERYL",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "SLP-CCC/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Culbert, PHD
• Jacquelynn Falana Douglas-Pettis
• Anthony Douglas II, MD
• Arielle Douglas, PHYSICIAN ASSISTANT
• Ayannia Douglas
• Katherine G Douglas, DO
• Laura Michelle Douglas, D.M.D.
• Megan Douglas
• Sara Douglas
• Karen Yvette Douglass, PSY.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 Jun 20, 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.

Verify at the official NPI Registry.