MR. DEREK PALMER (NPI# 1538417282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538417282 |
| Entity Type | Individual |
| Full Name | MR. DEREK PALMER |
| Credential | MA, CCC-SLP, BCS-S |
| Practice Address |
5758 S Maryland Ave Dcam 4517, Mc9020 Chicago IL 60637-1426 |
| Practice Telephone | 7737024004 |
| Mailing Telephone | 7737024004 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2016-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.010439 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407290372 | Derek S. Palmer | Surgery | 120 District Blvd Apt 433, Jackson, MS 39211-6389 | 2013-04-23 |
| 1033595129 | Derek Lee Palmer | Physical Therapist | 2521 Boone Rd Se # 100, Salem, OR 97306-9675 | 2015-07-31 |
| Street Address |
5758 S MARYLAND AVE DCAM 4517, MC9020 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973185 | University of Chicago Hospitals | Pharmacy | 5758 S Maryland Ave, Mc0010, Chicago, IL 60637-1426 | 2005-09-21 |
| 1174143234 | Kiesha T Williams | Nurse's Aide | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2020-04-19 |
| 1215568886 | Denise L Scarpelli | Pharmacist | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2020-01-31 |
| 1205475563 | Wuan-chwin Janice Yu | Nurse Practitioner | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2020-01-03 |
| 1861055188 | Sophia Khan | Nurse Practitioner | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2019-04-22 |
| 1255895678 | The University of Chicago Medical Center | Pharmacy | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2019-01-30 |
| 1245718337 | Jackie Ferretti | Dietitian, Registered | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2018-08-01 |
| 1043798135 | Jessica Clair Schultz | Dietitian, Registered | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2018-08-01 |
| 1144720921 | Vienet Romero | Audiologist | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2018-02-18 |
| 1023527207 | Eric Seper | Audiologist | 5758 S Maryland Ave, Chicago, IL 60637-1426 | 2017-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| 1144837840 | Paige Avery Cianciolo | Speech-Language Pathologist | 1700 W 83rd St, Chicago, IL 60620-4621 | 2020-09-26 |
| 1558975565 | Leela A Rao | Speech-Language Pathologist | 1140 S Wabash Ave Apt 1609, Chicago, IL 60605-2330 | 2020-09-08 |
| 1457960155 | Anant Kaur Shergill | Speech-Language Pathologist | 3729 N Oakley Ave Unit 1, Chicago, IL 60618-4812 | 2020-07-28 |
| 1689283608 | Jamie Lynn Payne | Speech-Language Pathologist | 600 W Roosevelt Rd Ste 2e, Chicago, IL 60607-4912 | 2020-07-26 |
| 1144839242 | Shana Birger | Speech-Language Pathologist | 942 W Sheridan Rd Apt 3a, Chicago, IL 60613-6487 | 2020-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.