Active NPI
Wonderbus Speech Therapy LLC
- Speech-Language Pathologist
- Plainfield, IL
National Provider Identifier
1285207068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gaylene Marie Oesterreich, CCC/SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gaylene@wonderbus-il.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Plainfield, IL
- NPI 1205341674
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.