Organization Active NPI

Wonderbus Speech Therapy LLC

  • Speech-Language Pathologist
  • Plainfield, IL
National Provider Identifier
1285207068
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
WONDERBUS SPEECH THERAPY LLC
Practice address
25136 Patriot CT
Plainfield, IL 60544-2594
Phone
(847) 508-5861
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Mrs. Gaylene Marie Oesterreich, CCC/SLPNPI 1205341674
Title
Speech and Language Pathologist
Phone
(847) 508-5861

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 Primary

Addresses

Primary practice location

25136 Patriot CT
Plainfield, IL 60544-2594

Mailing address

25136 Patriot CT
Plainfield, IL 60544-2594
Phone (847) 508-5861

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gaylene@wonderbus-il.com Direct

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": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1285207068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25136 PATRIOT CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442594",
            "telephone_number": "847-508-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25136 PATRIOT CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442594",
            "telephone_number": "847-508-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERBUS SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "OESTERREICH",
        "authorized_official_first_name": "GAYLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-508-5861",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gaylene@wonderbus-il.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25136 Patriot Ct",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605442594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.