Active NPI
Emily Nicole Kowalski, MS
- Speech-Language Pathologist
- Oak Lawn, IL
National Provider Identifier
1831943869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4560 W 103Rd St Ste 2
Oak Lawn, IL 60453-4870 - Phone
- (708) 581-5798
- NPI assigned
- Apr 16, 2024
- 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 | Primary |
Addresses
Primary practice location
4560 W 103Rd St Ste 2
Oak Lawn, IL 60453-4870
Mailing address
9200 S 49TH Ave
Oak Lawn, IL 60453-1706
Phone (708) 704-2007
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trestle Therapy Group, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4560 W 103rd St
Ste 2
Oak Lawn, IL 60453
Phone (708) 581-5798
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.
-
- Speech-Language Pathologist
- Oak Lawn, IL
- NPI 1376267831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1831943869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 S 49TH AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604531706",
"telephone_number": "708-704-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 W 103RD ST STE 2",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534870",
"telephone_number": "708-581-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "EMILY",
"middle_name": "NICOLE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.