Active NPI
Sharon Elizabeth Kummerer, PH.D.
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1811245327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146004345
- Practice address
- 1401 S California Ave
Chicago, IL 60608-1858 - Phone
- (773) 522-2010
- Fax
- (773) 522-5871
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146004345 | IL | Primary |
Addresses
Primary practice location
1401 S California Ave
Chicago, IL 60608-1858
Mailing address
2626 N Lakeview Ave
Unit #401
Chicago, IL 60614-6173
Phone (312) 213-5531
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146004345 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1811245327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 N LAKEVIEW AVE",
"address_2": "UNIT #401",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146173",
"telephone_number": "312-213-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081858",
"telephone_number": "773-522-2010",
"fax_number": "773-522-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMMERER",
"first_name": "SHARON",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146004345",
"primary": true
}
],
"identifiers": [],
"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 Aug 15, 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.