Organization Active NPI

Brady Speech Language Pathology LTD

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1043793177
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRADY SPEECH LANGUAGE PATHOLOGY LTD
Practice address
5228 S Blackstone Ave
Ste Y
Chicago, IL 60615-4106
Phone
(773) 493-4000
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Arnell Brady, SLP
Title
Owner
Phone
(312) 659-7708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5228 S Blackstone Ave
Ste Y
Chicago, IL 60615-4106

Mailing address

5228 S Blackstone Ave
Ste Y
Chicago, IL 60615-4106
Phone (773) 493-4000

National Provider Directory

National Provider Directory

Locations

5234 S Blackstone Ave
Ste Y
Chicago, IL 60615
Phone (773) 493-4000

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1043793177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 S BLACKSTONE AVE",
            "address_2": "STE Y",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154106",
            "telephone_number": "773-493-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 S BLACKSTONE AVE",
            "address_2": "STE Y",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154106",
            "telephone_number": "773-493-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY SPEECH LANGUAGE PATHOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "ARNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-659-7708",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 Sep 14, 2018; 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.