Nicole Isroff, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Summit, IL
NPI 1750002101 · NPPES record last updated Sep 5, 2022
Key facts
- NPI
- 1750002101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 14364232 (IL)
- Practice address
- 5640 S 75TH Ave
Summit, IL 60501-1346 - Phone
- (708) 458-7165
- NPI assigned
- Sep 5, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14364232 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14364232 | IL | Yes |
Addresses
Primary practice location
5640 S 75TH Ave
Summit, IL 60501-1346
Mailing address
210 S Desplaines St Apt 401
Chicago, IL 60661-5545
Phone (219) 510-3261
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nisroff@sd104.us | Direct |
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- Christopher Hills
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- Lynette Jones
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- Eunice Kim
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All providers in Summit, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.