Habiba Ishtiaq

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

525 Harvest Gate Rd
Lake in the Hills, IL 60156-4877

Phone

(847) 957-7070

NPI assigned

May 29, 2024

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

Enrolled in IL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Oak Park, IL
  • NPI 1063784148

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336808146
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1992545792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 HARVEST GATE RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564877",
            "telephone_number": "847-957-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Sullivan Trl",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180407958",
            "country_code": "US",
            "telephone_number": "610-438-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHTIAQ",
        "first_name": "HABIBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Nadir Hussain, DMD
• Marisa Ikenn, LSW
• In Bloom Therapy, LLC
• Indeed Counseling Inc.
• International Dental Professionals
• Jennifer Ann Jackson Ciullo, PHARM D
• Rishab Jain
• Ellen James, LSW
• Jane-Erin Janachowski, M.ED, BCBA
• Mitchell Janca, DPT

• Speech-Language Pathologist in Lake in the Hills, IL
• Providers in Lake in the Hills, 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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.