Active NPI
Annie J Pfaff
- Speech-Language Pathologist
- Oswego, IL
National Provider Identifier
1861210072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146008783
- Practice address
- 100 Old Post Rd
Oswego, IL 60543-7317 - Phone
- (630) 636-3439
- NPI assigned
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 146008783 | IL | Primary |
Addresses
Primary practice location
100 Old Post Rd
Oswego, IL 60543-7317
Mailing address
100 Old Post Rd
Oswego, IL 60543-7317
Phone (630) 636-3439
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 |
|---|---|---|---|
| 146008783 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1861210072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OLD POST RD",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437317",
"telephone_number": "630-636-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OLD POST RD",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437317",
"telephone_number": "630-636-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAFF",
"first_name": "ANNIE",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146008783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
- Isabel Christina Perez- Correa
- Jesus Churchill Perez-Rincon, BSW
- Perspectives Counseling Consulting and Mediation Services PLLC
- Mark E Peterson, MD
- Sandra Lee Petrie, M.A. CCC/SLP
- Nicole Phelps
- Courtney Diane Pitstick, MSW
- Rosalina Plaza-Nigaglioni
- Brandon Thomas Polaskey, D.C.
- Lindsey Polaskey, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.