Individual provider Active NPI

Clare Brusich

  • Speech-Language Pathologist
  • Orland Park, IL
National Provider Identifier
1922525534
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146014340 Issued in IL
Practice address
14315 108TH Ave Ste 230
Orland Park, IL 60467-5701
Phone
(708) 675-2100
Fax
(708) 672-2002
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242004677 IL
Speech-Language Pathologist 235Z00000X 146014340 IL Primary

Addresses

Primary practice location

14315 108TH Ave Ste 230
Orland Park, IL 60467-5701

Mailing address

14315 108TH Ave Ste 230
Orland Park, IL 60467-5701
Phone (708) 675-2100

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

LicenseStateTypeSpecialty
146014340ILMDSpeech-Language Pathologist
242004677ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1922525534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE STE 230",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-675-2100",
            "fax_number": "708-672-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE STE 230",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-675-2100",
            "fax_number": "708-672-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSICH",
        "first_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242004677",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.