Andriana Mae Evangelopoulos, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14473149 Issued in IL

Practice address

5724 W 95TH St
Oak Lawn, IL 60453-2359

Phone

(312) 291-1505

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phos, Inc

  • Community/Behavioral Health Agency
  • Oak Lawn, IL
  • NPI 1285331496
  NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1881373538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 S 73RD CT",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532359",
            "telephone_number": "312-291-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELOPOULOS",
        "first_name": "ANDRIANA",
        "middle_name": "MAE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14473149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ederlyne Esperanza, OTR/L
• Daniela Espinoza, NP
• Itzi Espinoza
• Omar Espinoza, DNP, CPNP-AC
• Natalie Caitlyn Eubank, RD, LDN
• Diana Murcia Evans, PA-C
• E'Ara Nyea Evans
• Jacqueline M Evans, APN/CPNP
• Zariah Evans
• Mandi E Evanson, LCSW

• Speech-Language Pathologist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.