Teresa Jean Sanderson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1201 N Sheridan Rd
Waukegan Public School District
Waukegan, IL 60085-2081

Phone

(847) 336-3100

NPI assigned

Aug 21, 2015

Last updated

Aug 21, 2015By the provider in NPPES

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 Science

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1770950024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 AVENUE L",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274434",
            "telephone_number": "630-335-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N SHERIDAN RD",
            "address_2": "WAUKEGAN PUBLIC SCHOOL DISTRICT",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852081",
            "telephone_number": "847-336-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "TERESA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Sancen
• Oliver Jaden Sanchez, MHP, EMT
• Raquel Alejandra Sanchez
• Sanctuary Emergency Physicians, LLC
• Maia Andrea Angelique Sanders
• Brenda Sands
• Bruce E Sands, M.D.
• Diana Santana, LPN
• Jaime Santana
• Tina Elise Santopoalo, MSN

• Speech-Language Pathologist in Waukegan, IL
• Providers in Waukegan, 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 Aug 21, 2015; 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.