Candice Emerson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146009991 Issued in IL

Practice address

1451 W Erie St Apt 1F
Chicago, IL 60642-6159

Phone

(269) 599-1686

NPI assigned

Aug 8, 2012

Last updated

Dec 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Candice Dennie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1972850048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W ERIE ST APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426159",
            "telephone_number": "269-599-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W ERIE ST APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426159",
            "telephone_number": "269-599-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600161209",
            "country_code": "US",
            "telephone_number": "847-297-1800 x2013",
            "fax_number": "847-813-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "CANDICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "DENNIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Emeric Otero, PSY.D.
• Brenda Emerich, CD
• Michelle Emerick, PSY.D.
• Olivia Emerick
• Alicia Emerson Kavchak, PT
• Erin E. Emery-Tiburcio, PHD
• Brian Joseph Emery
• Celine Emery
• Jessica T Emery, DMD
• Kathleen Emery, PHD

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, 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 30, 2019; 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.