Individual provider Active NPI

Seana Palmer, M.S. CCC/SLP-L

  • Speech-Language Pathologist
  • Country Club Hills, IL
National Provider Identifier
1730402777
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.009954 Issued in IL
Practice address
3701 168TH St
Country Club Hills, IL 60478-2123
Phone
(708) 335-9770
NPI assigned
Mar 4, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 146.009954 IL Primary

Addresses

Primary practice location

3701 168TH St
Country Club Hills, IL 60478-2123

Mailing address

14060 Chicory TRL
Homer Glen, IL 60491-9464
Phone (224) 523-0487

Other practice location 1

4100 West Wagman Avenue
Oak Forest, IL 60452
Phone (708) 210-2872

Other practice location 2

940 Maple Rd
Homewood, IL 60430-2061
Phone (708) 799-0244 ext. 236

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146.009954ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730402777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14060 CHICORY TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919464",
            "telephone_number": "224-523-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 168TH ST",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782123",
            "telephone_number": "708-335-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 West Wagman Avenue",
            "address_purpose": "LOCATION",
            "city": "Oak Forest",
            "state": "IL",
            "postal_code": "60452",
            "country_code": "US",
            "telephone_number": "708-210-2872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604302061",
            "country_code": "US",
            "telephone_number": "708-799-0244 x236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SEANA",
        "credential": "M.S. CCC/SLP-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.