Active NPI
Julie Craft Wilks, MA CCC-SLP/L
- Speech-Language Pathologist
- Warrenville, IL
National Provider Identifier
1740749100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146004996
- Practice address
- 4S241 River Rd
Warrenville, IL 60555-3815 - Phone
- (630) 393-9413
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146004996 | IL | Primary |
Addresses
Primary practice location
4S241 River Rd
Warrenville, IL 60555-3815
Mailing address
0N245 Cumnor Ave
Glen Ellyn, IL 60137-4753
Phone (630) 917-0468
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146004996 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1740749100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0N245 CUMNOR AVE",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374753",
"telephone_number": "630-917-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4S241 RIVER RD",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553815",
"telephone_number": "630-393-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "JULIE",
"middle_name": "CRAFT",
"credential": "MA CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146004996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.