Active NPI
Annalisa Nardulli, CCC-SLP
- Speech-Language Pathologist
- Skokie, IL
National Provider Identifier
1861110413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14306381
- Practice address
- 7616 E Prairie Rd
Skokie, IL 60076-3758 - Phone
- (847) 673-1141
- NPI assigned
- Aug 19, 2022
- Last updated
- Aug 19, 2022
- 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 | 14306381 | IL | Primary |
Addresses
Primary practice location
7616 E Prairie Rd
Skokie, IL 60076-3758
Mailing address
5001 N Denal St
Norridge, IL 60706-2802
Phone (708) 407-4338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14306381 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14306381 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1861110413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 N DENAL ST",
"city": "NORRIDGE",
"state": "IL",
"postal_code": "607062802",
"telephone_number": "708-407-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7616 E PRAIRIE RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763758",
"telephone_number": "847-673-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDULLI",
"first_name": "ANNALISA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "14306381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14306381",
"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 Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.