Individual provider Active NPI

Vanessa Bonney-Laramore, MHS.,CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1811044803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146002339 Issued in IL
Practice address
8631 S Francisco Ave
Chicago, IL 60652-3834
Phone
(773) 737-1963
Fax
(773) 737-1715
NPI assigned
Jan 4, 2007
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 146002339 IL Primary

Addresses

Primary practice location

8631 S Francisco Ave
Chicago, IL 60652-3834

Mailing address

8631 S Francisco Ave
Chicago, IL 60652-3834
Phone (773) 737-1963

Other identifiers 2

IdentifierTypeStateIssuer
01636471OtherILBLUE SHIELD PROVIDER NUMB
146002339OtherILSTATE LICENSE

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
146002339ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
VBL Speech Therapy Services Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811044803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 S FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523834",
            "telephone_number": "773-737-1963",
            "fax_number": "773-737-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 S FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523834",
            "telephone_number": "773-737-1963",
            "fax_number": "773-737-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEY-LARAMORE",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "MHS.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "01636471",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "146002339",
            "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.