Individual provider Active NPI

Karin Eva Sudlow, CCC-SLP

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1942358486
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006830 Issued in IL
Practice address
3078 Serenity LN
Naperville, IL 60564-4669
Phone
(630) 660-6016
Fax
(630) 757-4265
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 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 146006830 IL Primary

Addresses

Primary practice location

3078 Serenity LN
Naperville, IL 60564-4669

Mailing address

3078 Serenity LN
Naperville, IL 60564-4669
Phone (630) 660-6016

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
146006830ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Tracks Pediatric Therapies PLLC Speech-Language Pathologist CurrentSince Jul 31, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1942358486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 SERENITY LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644669",
            "telephone_number": "630-660-6016",
            "fax_number": "630-757-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 SERENITY LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644669",
            "telephone_number": "630-660-6016",
            "fax_number": "630-757-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDLOW",
        "first_name": "KARIN",
        "middle_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.