Sara Nicole Ziliak, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146014378 Issued in IL

Practice address

1310 N Main St Ste 108
Sandwich, IL 60548-1394

Phone

(815) 981-7241

Fax

(815) 981-7314

NPI assigned

May 4, 2021

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1740863992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 108",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481394",
            "telephone_number": "815-981-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 108",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481394",
            "telephone_number": "815-981-7241",
            "fax_number": "815-981-7314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605482587",
            "country_code": "US",
            "telephone_number": "815-981-7167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Midlands Ct",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783125",
            "country_code": "US",
            "telephone_number": "815-748-8900",
            "fax_number": "815-758-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZILIAK",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Sandwich, IL
• Providers in Sandwich, 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 May 4, 2021; 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.