Lisa Anne Golzar, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

12828 S la Grange Rd
Palos Park, IL 60464-2247

Phone

(708) 361-3577

NPI assigned

Dec 17, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1881877595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10812 JILLIAN RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674549",
            "telephone_number": "708-364-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 S LA GRANGE RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604642247",
            "telephone_number": "708-361-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLZAR",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Gaynor
• Gabriela Gehrman, PMHNP
• Generalhealthgroup of Illinois
• Geriaric Care Consultants
• Kathleen Alys Giuffre
• Insiyah Aamir Gomberawalla, M.D.
• Joshua C Graff
• Vincent J Greci, DDS
• Ruta Grigas, SLP
• Gaurang Gujarathi, DO

• Speech-Language Pathologist in Palos Park, IL
• Providers in Palos Park, 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 Dec 17, 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.

Verify at the official NPI Registry.