Organization Active NPI

The Loop Speech, Language, and Learning

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1336626316
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146011197 Issued in IL
Legal business name
THE LOOP SPEECH, LANGUAGE, AND LEARNING
Practice address
310 S Michigan Ave Unit 1308
Chicago, IL 60604-4203
Phone
(908) 377-8474
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Dr. Jessica Wacker, SLP.D CCC-SLPNPI 1073902144
Title
Owner, SLP, and Learning Specialist
Phone
(773) 720-0646

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 146011197 IL Primary

Addresses

Primary practice location

310 S Michigan Ave Unit 1308
Chicago, IL 60604-4203

Mailing address

310 S Michigan Ave Unit 1308
Chicago, IL 60604-4203

Other identifiers 2

IdentifierTypeStateIssuer
146011197OtherILILLINOIS STATE BOARD OF EDUCATION
14043931OtherASHA

National Provider Directory

National Provider Directory

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": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1336626316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S MICHIGAN AVE UNIT 1308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MICHIGAN AVE UNIT 1308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044203",
            "telephone_number": "908-377-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOOP SPEECH, LANGUAGE, AND LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "WACKER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER, SLP, AND LEARNING SPECIALIST",
        "authorized_official_telephone_number": "773-720-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SLP.D CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE BOARD OF EDUCATION",
            "identifier": "146011197",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14043931",
            "state": null
        }
    ],
    "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 Nov 12, 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.