Prairie Path Speech Therapy, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PRAIRIE PATH SPEECH THERAPY, INC

Practice address

1114 E Gartner Rd
Naperville, IL 60540-7726

Phone

(630) 453-7666

Fax

(630) 566-5984

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Jaclyn SuvegNPI 1588112940

Title

President

Phone

(630) 453-7666

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jaclyn Suveg

  • Speech-Language Pathologist
  • Naperville, IL
  • NPI 1588112940
  NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1265059356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 E GARTNER RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407726",
            "telephone_number": "630-453-7666",
            "fax_number": "630-566-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E GARTNER RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407726",
            "telephone_number": "630-453-7666",
            "fax_number": "630-566-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE PATH SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "SUVEG",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-453-7666"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Teresa Pozzi, LCPC
• Mini Pradeep
• Paola Prado
• Susan Pragaspathy, LPC
• Prairie Path Speech Therapy
• Prasad Gonavarum D.D.S., P.C.
• Lisa Marie Prather, AU.D.
• David Mark Prator Jr., D.C.
• David Lee Pratt, D.P.T.
• Praveen V Parvathala MD LLC

• Speech-Language Pathologist in Naperville, IL
• Providers in Naperville, 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 Nov 17, 2023; 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.