Square One Kids, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SQUARE ONE KIDS, LLC

Practice address

9736 S Hamilton Ave
Chicago, IL 60643-1644

Phone

(773) 343-8484

Fax

(773) 305-0954

NPI assigned

Aug 30, 2006

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Marie Connor, M.ED.NPI 1821117573

Title

Director

Phone

(773) 343-8484

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Marie Connor, CDS

  • Specialist
  • Chicago, IL
  • NPI 1821117573
  NPD (past) Authorized official
• Deborah Provenzano, SLPA

  • Speech-Language Assistant
  • Chicago, IL
  • NPI 1164548376
  NPD (past)
• Diane Vasilevich, MS, CCC/SLP

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1386753226
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1174632186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9736 S HAMILTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431644",
            "telephone_number": "773-343-8484",
            "fax_number": "773-305-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9736 S HAMILTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431644",
            "telephone_number": "773-343-8484",
            "fax_number": "773-305-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE ONE KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-343-8484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Val Spunar, DPM
• Roxanne Spurlark
• Anthony Jacob Spychalski, APRN, AGACNP-BC
• Elizabeth Spyratos
• Jerry S Spyratos, D.D.S.
• Gianna Rose Squeo, BCBA
• Madeline Squier, MS RDN LDN CLC
• Christina Lee Squiers
• Michael J Squillace, D.C.
• Sr Cornea Consultants SC

• 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 Aug 5, 2008; 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.