Organization Active NPI

Sure Start Developmental Services, Inc.

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1255411005
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146005299 Issued in IL
Legal business name
SURE START DEVELOPMENTAL SERVICES, INC.
Practice address
919 N Wolcott Ave
#201
Chicago, IL 60622-7229
Phone
(773) 398-7873
Fax
(773) 435-6734
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Carryl Sher, MA CCC-SLP/LNPI 1598930935
Title
Speech and Language Pathologist
Phone
(773) 398-7873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146005299 IL Primary

Addresses

Primary practice location

919 N Wolcott Ave
#201
Chicago, IL 60622-7229

Mailing address

919 N Wolcott Ave
#201
Chicago, IL 60622-7229
Phone (773) 398-7873

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1255411005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N WOLCOTT AVE",
            "address_2": "#201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227229",
            "telephone_number": "773-398-7873",
            "fax_number": "773-435-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N WOLCOTT AVE",
            "address_2": "#201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227229",
            "telephone_number": "773-398-7873",
            "fax_number": "773-435-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE START DEVELOPMENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "SHER",
        "authorized_official_first_name": "CARRYL",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "773-398-7873",
        "authorized_official_credential": "MA CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005299",
            "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 4, 2011; 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.