LIA NICOLE FULKS (NPI# 1689114506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689114506 |
| Entity Type | Individual |
| Full Name | LIA NICOLE FULKS |
| Other Name | LIA NICOLE MACKEY |
| Credential | MA CCC-SLP |
| Practice Address |
345 E Superior St Chicago IL 60611-2654 |
| Mailing Address |
3644 N Damen Ave Unit 1 Chicago IL 60618-4946 |
| Practice Telephone | 3122381000 |
| Mailing Telephone | 5868551025 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.010857 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
345 E SUPERIOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790772820 | Victor Lamar Lewis Jr. | Plastic Surgery | 345 E Superior St, Chicago, IL 60611-2654 | 2005-10-04 |
| 1205461332 | Sneha Mehta | Physical Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2020-03-09 |
| 1104463744 | Alison Kei Sin Yum | Occupational Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2019-12-02 |
| 1730725698 | Lauren Rae Krupp | Physical Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2019-11-25 |
| 1740716091 | Allison Mary Erfort | Occupational Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2017-05-05 |
| 1205367505 | Sindhoori Nalla | Student in an Organized Health Care Education/Training Program | 345 E Superior St, Chicago, IL 60611-2654 | 2017-03-27 |
| 1124568258 | Katlyn Fisk | Occupational Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2017-03-08 |
| 1770023103 | Jessica Sarah Abrams | Occupational Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2017-03-04 |
| 1265971485 | Jessica Wierdak | Physical Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2017-02-21 |
| 1891234373 | Allison Lynn Armstrong | Physical Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2017-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| 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 |
| Find all providers in CHICAGO | ||||
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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.