Active NPI
Speech Therapy and Rehabilitation
- Speech-Language Pathologist
- Skokie, IL
National Provider Identifier
1356658561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146006909
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.