Shared Intentions, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146011618 Issued in IL

Legal business name

SHARED INTENTIONS, LLC

Practice address

2923 N Milwaukee Ave
Unit 200
Chicago, IL 60618-7886

Phone

(708) 334-8411

NPI assigned

Jul 26, 2014

Organization subpart

No

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

Authorized official

Name

Abigail Brighid Coghlan, MS CCC-SLPNPI 1851651152

Title

Owner, Speech-Language Pathologist

Phone

(708) 334-8411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Abigail Brighid Coghlan, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1851651152
  NPD (past) Authorized official

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406332800000",
    "number": "1164830857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 N MILWAUKEE AVE",
            "address_2": "UNIT 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187886",
            "telephone_number": "708-334-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 N MILWAUKEE AVE",
            "address_2": "UNIT 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187886",
            "telephone_number": "708-334-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED INTENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A",
        "authorized_official_last_name": "COGHLAN",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "BRIGHID",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "708-334-8411",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrei Sharapov, M.D.
• Abdelrahman Sharara, DMD
• Sharda Pharmacy,Inc.
• Lisa Sharda
• Megan Share, M.A., L.C.P.C.
• Amena Maheen Shareef, MD
• Quadrat Shareef, M.D.
• Sarah Shareef, DO
• Saima Sharf, DPM
• Farnaz Shariati

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, 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 Jul 26, 2014; 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.