Individual provider Active NPI

Meredith Tonarelli

  • Speech-Language Pathologist
  • Glen Ellyn, IL
National Provider Identifier
1730502089
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.011754 Issued in IL
Practice address
420 Dorset PL
Glen Ellyn, IL 60137-5613
Phone
(630) 740-6744
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
Yes

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 146.011754 IL Primary

Addresses

Primary practice location

420 Dorset PL
Glen Ellyn, IL 60137-5613

Mailing address

420 Dorset PL
Glen Ellyn, IL 60137-5613

Other practice location 1

300 E Forest Ave
West Chicago, IL 60185-3528
Phone (630) 293-6000

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
146.011754ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Ellyn Speech Therapy LLC Speech-Language Pathologist CurrentSince Feb 4, 2024 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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730502089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DORSET PL",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DORSET PL",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375613",
            "telephone_number": "630-740-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Forest Ave",
            "address_purpose": "LOCATION",
            "city": "West Chicago",
            "state": "IL",
            "postal_code": "601853528",
            "country_code": "US",
            "telephone_number": "630-293-6000",
            "fax_number": "630-293-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONARELLI",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, 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.