Organization Active NPI

Speech Therapy and Rehabilitation

  • Speech-Language Pathologist
  • Skokie, IL
National Provider Identifier
1356658561
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006909 Issued in IL
Legal business name
SPEECH THERAPY AND REHABILITATION
Practice address
7138 Carpenter Rd
Skokie, IL 60077-3279
Phone
(847) 674-0883
Fax
(847) 674-0938
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Ms. Vanessa Spaulding
Title
President
Phone
(847) 674-0883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146006909 IL Primary

Addresses

Primary practice location

7138 Carpenter Rd
Skokie, IL 60077-3279

Mailing address

7138 Carpenter Rd
Skokie, IL 60077-3279
Phone (847) 674-0883

National Provider Directory

National Provider Directory

Locations

7138 Carpenter Rd
Skokie, IL 60077
Phone (847) 674-0883

3925 Howard St
Skokie, IL 60076
Phone (847) 674-0883

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1356658561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 CARPENTER RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773279",
            "telephone_number": "847-674-0883",
            "fax_number": "847-674-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 CARPENTER RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773279",
            "telephone_number": "847-674-0883",
            "fax_number": "847-674-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-674-0883",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.