Individual provider Active NPI

Lauren Nicole Wencewicz

  • Speech-Language Pathologist
  • West Chicago, IL
National Provider Identifier
1871296749
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
800 Garys Mill Rd
West Chicago, IL 60185-4100
Phone
(630) 293-6600
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

800 Garys Mill Rd
West Chicago, IL 60185-4100

Mailing address

631 Maves Dr
Batavia, IL 60510-4326
Phone (630) 414-4148

Other practice location 1

130 E Forest Ave
West Chicago, IL 60185-3524
Phone (630) 293-6010

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1871296749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 MAVES DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605104326",
            "telephone_number": "630-414-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GARYS MILL RD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854100",
            "telephone_number": "630-293-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 E Forest Ave",
            "address_purpose": "LOCATION",
            "city": "West Chicago",
            "state": "IL",
            "postal_code": "601853524",
            "country_code": "US",
            "telephone_number": "630-293-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENCEWICZ",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.