Organization Active NPI

United Speech Design Therapy Professionals, LLC

Doing business as Speech I Am

  • Hearing and Speech Clinic/Center
  • Fox Lake, IL
National Provider Identifier
1285993840
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
146004767 Issued in IL
Legal business name
UNITED SPEECH DESIGN THERAPY PROFESSIONALS, LLC
Doing business as
Speech I Am
Practice address
37 Tweed Rd
Fox Lake, IL 60020-1626
Phone
(858) 405-9050
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Ms. Heidi L Cordina, S.L.P.NPI 1992924955
Title
Director/Speech Therapist
Phone
(858) 405-9050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 146004767 IL Primary

Addresses

Primary practice location

37 Tweed Rd
Fox Lake, IL 60020-1626

Mailing address

37 Tweed Rd
Fox Lake, IL 60020-1626
Phone (858) 405-9050

Other names 1

  • Speech I Am Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1285993840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 TWEED RD",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201626",
            "telephone_number": "858-405-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 TWEED RD",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201626",
            "telephone_number": "858-405-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SPEECH DESIGN THERAPY PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "CORDINA",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/SPEECH THERAPIST",
        "authorized_official_telephone_number": "858-405-9050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "S.L.P."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": "146004767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech I Am",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fox Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.