Active NPI
Melissa Lynn Wise, MS SLP
- Speech-Language Pathologist
- Lake Zurich, IL
National Provider Identifier
1881629319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 122 W Harbor Dr
Lake Zurich, IL 60047 - Phone
- (847) 302-0833
- Fax
- (847) 438-9141
- NPI assigned
- Jul 12, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
122 W Harbor Dr
Lake Zurich, IL 60047
Mailing address
122 W Harbor Dr
Lake Zurich, IL 60047
Phone (847) 302-0833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632106 | Other | IL | BLUECROSS BLUESHIELD |
| 9387565 | Other | IL | PRIVATE HEALTH CARE SYSTE |
Other names 1
- Melissa Lynn Sonka
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146007601 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Speech Connections PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Lake Zurich, IL
- NPI 1003768656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881629319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W HARBOR DR",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "60047",
"telephone_number": "847-302-0833",
"fax_number": "847-438-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W HARBOR DR",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "60047",
"telephone_number": "847-302-0833",
"fax_number": "847-438-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "MELISSA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "5632106",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTH CARE SYSTE",
"identifier": "9387565",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "SONKA",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.