Organization Active NPI

Newsome Speech and Language Therapy P. C.

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1104290279
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEWSOME SPEECH AND LANGUAGE THERAPY P. C.
Practice address
6351 W Montrose Ave
#304
Chicago, IL 60634-1563
Phone
(773) 889-8035
Fax
(773) 637-1976
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Ms. Melody Hartzog
Title
President
Phone
(773) 889-8035

Specialties & licenses 1

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

Addresses

Primary practice location

6351 W Montrose Ave
#304
Chicago, IL 60634-1563

Mailing address

6351 W Montrose Ave
#304
Chicago, IL 60634-1563
Phone (773) 889-8035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1104290279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 W MONTROSE AVE",
            "address_2": "#304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341563",
            "telephone_number": "773-889-8035",
            "fax_number": "773-637-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 W MONTROSE AVE",
            "address_2": "#304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341563",
            "telephone_number": "773-889-8035",
            "fax_number": "773-637-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOME SPEECH AND LANGUAGE THERAPY P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "HARTZOG",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-889-8035",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Nov 30, 2015; 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.