Speech and Language Academy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146007765 Issued in IL

Legal business name

SPEECH AND LANGUAGE ACADEMY, INC.

Practice address

5212 Fair Elms Ave
Western Springs, IL 60558-1810

Phone

(708) 205-9679

Fax

(708) 839-4325

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Anne McLamore Nowak, M.A., CCC-SLP/L

Title

President

Phone

(708) 205-9679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1205036910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 FAIR ELMS AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581810",
            "telephone_number": "708-205-9679",
            "fax_number": "708-839-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 FAIR ELMS AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581810",
            "telephone_number": "708-205-9679",
            "fax_number": "708-839-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MCLAMORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-205-9679",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith D. Smith
• Paul Smith, DPM
• Elliot Anna Snow, LMT, CLT
• Nicholas Spiros Sourbis
• Caitlin Southrey
• Frederick R Spencer, DPM
• Spring Orthodontics
• Springdale Eyecare LLC
• Gina M Staten Brabham, MA, LCPC
• Sarah Stauber, MA

• Speech-Language Pathologist in Western Springs, IL
• Providers in Western Springs, 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 Jan 10, 2012; 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.