Northshore Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

NORTHSHORE SPEECH THERAPY LLC

Practice address

1880 W Winchester Rd Ste 201
Libertyville, IL 60048-5336

Phone

(312) 970-0208

NPI assigned

Oct 6, 2022

Organization subpart

Yes

Parent organization

NORTHSHORE SPEECH THERAPY LLCAs reported in NPPES

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

Authorized official

Name

Lauren Deanne Tasiopoulos, BS, MS CCC-SLP/LNPI 1285126300

Title

Speech-Language Pathologist

Phone

(847) 946-7609

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Part of

Northshore Speech Therapy LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Deanne Tasiopoulos, MS, CCC-SLP

  • Speech-Language Pathologist
  • Libertyville, IL
  • NPI 1285126300

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1114642659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ANDERSON DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600484508",
            "telephone_number": "847-946-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD STE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485336",
            "telephone_number": "312-970-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE SPEECH THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSHORE SPEECH THERAPY LLC",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "TASIOPOULOS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-946-7609",
        "authorized_official_credential": "BS, MS CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15715976",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northshorespeechtherapy.com",
            "affiliation": "N",
            "address_1": "1880 W Winchester Rd Ste 201",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600485336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.