Organization Active NPI

The Center for Speech & Language Development

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1124438635
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THE CENTER FOR SPEECH & LANGUAGE DEVELOPMENT
Practice address
3537 N Reta Ave
Suite 1
Chicago, IL 60657-9199
Phone
(773) 750-7672
Fax
(888) 241-8008
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Lisa Koenigsberg
Title
Owner
Phone
(773) 750-7672

Specialties & licenses 1

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

Addresses

Primary practice location

3537 N Reta Ave
Suite 1
Chicago, IL 60657-9199

Mailing address

3537 N Reta Ave
Suite 1
Chicago, IL 60657-9199
Phone (773) 750-7672

National Provider Directory

National Provider Directory
Tax ID family
Center for Speech Language Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1124438635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 N RETA AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579199",
            "telephone_number": "773-750-7672",
            "fax_number": "888-241-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 N RETA AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579199",
            "telephone_number": "773-750-7672",
            "fax_number": "888-241-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR SPEECH & LANGUAGE DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "KOENIGSBERG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-750-7672"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-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 Aug 22, 2016; 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.