Organization Active NPI

Sunrise Speech Services Inc

  • Speech-Language Pathologist
  • Bolingbrook, IL
National Provider Identifier
1275669335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNRISE SPEECH SERVICES INC
Practice address
1392 Waterside Dr
Bolingbrook, IL 60490-5436
Phone
(630) 759-7675
Fax
(630) 759-7675
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deborah Ann Saulters, M.A. CCC-SLPNPI 1851427918
Title
President
Phone
(630) 759-7675

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: 193200000X MULTI-SPECIALTY GROUP 235Z00000X IL Primary

Addresses

Primary practice location

1392 Waterside Dr
Bolingbrook, IL 60490-5436

Mailing address

1392 Waterside Dr
Bolingbrook, IL 60490-5436
Phone (630) 759-7675

Other identifiers 1

IdentifierTypeStateIssuer
337661984001MedicaidIL

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": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275669335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 WATERSIDE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905436",
            "telephone_number": "630-759-7675",
            "fax_number": "630-759-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 WATERSIDE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905436",
            "telephone_number": "630-759-7675",
            "fax_number": "630-759-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SPEECH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAULTERS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-759-7675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337661984001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • 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.