Individual provider Active NPI

Norma Cheryl Margolis, M.S. CCC-SP

  • Speech-Language Pathologist
  • Skokie, IL
National Provider Identifier
1770607152
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146001103 Issued in IL
Practice address
9009 M Kenton
Skokie, IL 60076-1507
Phone
(847) 676-0876
Fax
(847) 677-9260
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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 146001103 IL Primary

Addresses

Primary practice location

9009 M Kenton
Skokie, IL 60076-1507

Mailing address

9009 N. Kenton
Skokie, IL 60076-1507
Phone (847) 502-3340

Other identifiers 1

IdentifierTypeStateIssuer
103034MedicaidIL

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 Science

State licenses

LicenseStateTypeSpecialty
146001103ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1770607152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 N. KENTON",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761507",
            "telephone_number": "847-502-3340",
            "fax_number": "847-677-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 M KENTON",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761507",
            "telephone_number": "847-676-0876",
            "fax_number": "847-677-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "NORMA",
        "middle_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146001103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.