Organization Active NPI

Aw Therapy Services, Inc

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1003083023
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1275604068 Issued in IL
Legal business name
AW THERAPY SERVICES, INC
Practice address
4717 W Patterson Ave
Chicago, IL 60641-3613
Phone
(773) 330-6220
Fax
(773) 439-2374
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Ms. Anne Wickert, M.S. CCC-SLP
Title
SLP/President
Phone
(773) 330-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1275604068 IL Primary

Addresses

Primary practice location

4717 W Patterson Ave
Chicago, IL 60641-3613

Mailing address

4717 W Patterson Ave
Chicago, IL 60641-3613
Phone (773) 330-6220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1003083023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 W PATTERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413613",
            "telephone_number": "773-330-6220",
            "fax_number": "773-439-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 W PATTERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413613",
            "telephone_number": "773-330-6220",
            "fax_number": "773-439-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AW THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WICKERT",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "SLP/PRESIDENT",
        "authorized_official_telephone_number": "773-330-6220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "1275604068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.