Active NPI
Allison Elizabeth Meyrick
- Speech-Language Pathologist
- Oak Forest, IL
National Provider Identifier
1861897431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.004347
- Practice address
- 5838 Charles LN
Oak Forest, IL 60452-2009 - Phone
- (708) 204-6430
- NPI assigned
- Oct 24, 2014
- 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 | 146.004347 | IL | Primary |
Addresses
Primary practice location
5838 Charles LN
Oak Forest, IL 60452-2009
Mailing address
5838 Charles LN
Oak Forest, IL 60452-2009
Phone (708) 204-6430
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 |
|---|---|---|---|
| 146.004347 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1861897431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5838 CHARLES LN",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604522009",
"telephone_number": "708-204-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5838 CHARLES LN",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604522009",
"telephone_number": "708-204-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYRICK",
"first_name": "ALLISON",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.004347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.