NPIMap

Organization Active NPI

Lakeview Speech and Language Clinic, LLC

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1316373137
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146010427 Issued in IL
Legal business name
LAKEVIEW SPEECH AND LANGUAGE CLINIC, LLC
Practice address
550 W Surf St
#405
Chicago, IL 60657-6036
Phone
(773) 573-7709
NPI assigned
Sep 25, 2013
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Tracy Trumbell, MA, CCC-SLP/LNPI 1831329358
Title
Owner, Clinical Director
Phone
(773) 573-7709

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 Pathologist 235Z00000X 146010427 IL Primary

Addresses

Primary practice location

550 W Surf St
#405
Chicago, IL 60657-6036

Mailing address

550 W Surf St
#405
Chicago, IL 60657-6036

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Speech and Language Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7612 W North Ave
#2
Elmwood Park, IL 60707
Phone (708) 240-3874

Practitioners & affiliated clinicians

Practitioners 6

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": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1316373137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W SURF ST",
            "address_2": "#405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W SURF ST",
            "address_2": "#405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576036",
            "telephone_number": "773-573-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SPEECH AND LANGUAGE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "TRUMBELL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "773-573-7709",
        "authorized_official_credential": "MA, CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010427",
            "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 Apr 16, 2014; 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.