Individual provider Active NPI

Kristin Elizabeth Cichowski, CCC-SLP/L

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1750473823
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2641 N Talman Ave Unit 1
Chicago, IL 60647-1837
Phone
(708) 606-4390
Fax
(773) 384-1499
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

2641 N Talman Ave Unit 1
Chicago, IL 60647-1837

Mailing address

2641 N Talman Ave Unit 1
Chicago, IL 60647-1837
Phone (708) 606-4390

Other identifiers 1

IdentifierTypeStateIssuer
1628081OtherILBCBS PROVIDER NUMBER

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
146005194ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750473823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 N TALMAN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471837",
            "telephone_number": "708-606-4390",
            "fax_number": "773-384-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 N TALMAN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471837",
            "telephone_number": "708-606-4390",
            "fax_number": "773-384-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHOWSKI",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1628081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.