Organization Active NPI

Second City Speech, LLC

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1154784791
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146011927 Issued in IL
Legal business name
SECOND CITY SPEECH, LLC
Practice address
4120 W Fletcher St
Chicago, IL 60641-5431
Phone
(317) 225-8349
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Marissa Claire Artman
Title
Owner
Phone
(317) 225-8349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146011927 IL Primary

Addresses

Primary practice location

4120 W Fletcher St
Chicago, IL 60641-5431

Mailing address

1520 N Damen Ave
Suite D, Office #4
Chicago, IL 60622-1967
Phone (317) 225-8349

National Provider Directory

National Provider Directory

Locations

1520 N Damen Ave
Ste D
Chicago, IL 60622
Phone (773) 377-5422

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1154784791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N DAMEN AVE",
            "address_2": "SUITE D, OFFICE #4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221967",
            "telephone_number": "317-225-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 W FLETCHER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606415431",
            "telephone_number": "317-225-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CITY SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "ARTMAN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-225-8349"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011927",
            "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 26, 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.