Shira Koffman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013458 Issued in IL

Practice address

713 N Adele St
Elmhurst, IL 60126-1701

Phone

(708) 602-1129

NPI assigned

Aug 29, 2017

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

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.

• Playing & Learning Therapy Services Corp

  • Speech-Language Pathologist
  • Elmhurst, IL
  • NPI 1316034606
  NPD (past)
• Soles Therapy Services Corp

  • Speech-Language Pathologist
  • Elmhurst, IL
  • NPI 1508254897
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1942727987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 LAVERNE LN APT 2D",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772541",
            "telephone_number": "847-387-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N ADELE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261701",
            "telephone_number": "708-602-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFMAN",
        "first_name": "SHIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret P Knight Devivo, DO
• Jessica Marie Knight, D.P.M.
• Michelle Rae Knizner, ATC
• David J Knysak, MD
• Anna Koch
• Louise Ann Kohlmeyer
• Munira M Koita, MD
• Marion S Kolar, MSN, RN, FNP-BC
• Steven M Kolb, DDS
• Sherine Kollamana, RBT-18-50548

• Speech-Language Pathologist in Elmhurst, IL
• Providers in Elmhurst, 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 Aug 29, 2017; 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.