NPIMap

Organization Active NPI

Expressions Pediatric Speech Therapy, Inc

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1285081281
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008815 Issued in IL
Legal business name
EXPRESSIONS PEDIATRIC SPEECH THERAPY, INC
Practice address
2472 W Foster Ave
#211
Chicago, IL 60625-6962
Phone
(773) 414-3326
Fax
(773) 304-4668
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Ms. Lauren Headley
Title
President
Phone
(773) 414-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146008815 IL Primary

Addresses

Primary practice location

2472 W Foster Ave
#211
Chicago, IL 60625-6962

Mailing address

2472 W Foster Ave
#211
Chicago, IL 60625-6962
Phone (773) 414-3326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1285081281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 W FOSTER AVE",
            "address_2": "#211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256962",
            "telephone_number": "773-414-3326",
            "fax_number": "773-304-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 W FOSTER AVE",
            "address_2": "#211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256962",
            "telephone_number": "773-414-3326",
            "fax_number": "773-304-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONS PEDIATRIC SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-414-3326",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008815",
            "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 May 19, 2016; 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.