Driscoll Pediatric Speech Services, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DRISCOLL PEDIATRIC SPEECH SERVICES, INC.

Practice address

7709 Catalpa Dr
Wonder Lake, IL 60097-9259

Phone

(815) 342-7957

Fax

(815) 653-4842

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda J Driscoll, M.A., CCC-SLP

Title

President

Phone

(815) 342-7957

Specialties & licenses 1

Addresses

Other names 1

• Amanda Driscoll Former legal business name

Practitioners 1

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

• Amanda Yablun, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Spring Grove, IL
  • NPI 1801015508
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235273756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 CATALPA DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979259",
            "telephone_number": "815-342-7957",
            "fax_number": "815-653-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 CATALPA DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979259",
            "telephone_number": "815-342-7957",
            "fax_number": "815-653-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRISCOLL PEDIATRIC SPEECH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-342-7957",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Driscoll",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Arun Narang, M.D.
• Auracle Chiropractic, LLC
• Bloomwell Family Clinic PLLC
• Kristopher L Coss
• Dennis R Zidek DC
• Casey Dycus, DC
• Delora Eileen Gerhardt, RDH
• Harrison School District #36
• Tammy Hartmann
• Jill Horan, LCSW

• Speech-Language Pathologist in Wonder Lake, IL
• Providers in Wonder Lake, 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 22, 2020; 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.