NPIMap

Organization Active NPI

Polish American Speech Services

  • Early Intervention Provider Agency
  • Tinley Park, IL
National Provider Identifier
1376714501
Registry record updated Mar 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
POLISH AMERICAN SPEECH SERVICES
Practice address
7403 162ND PL
Tinley Park, IL 60477-1542
Phone
(708) 822-6680
NPI assigned
Mar 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2008

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

Authorized official

Name
Lisa Anne MatysNPI 1578785796
Title
Speech Pathologist
Phone
(708) 822-6680

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
Early Intervention Provider Agency 252Y00000X IL Primary

Addresses

Primary practice location

7403 162ND PL
Tinley Park, IL 60477-1542

Mailing address

7403 162ND PL
Tinley Park, IL 60477-1542

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205539200000",
    "number": "1376714501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7403 162ND PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 162ND PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771542",
            "telephone_number": "708-822-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISH AMERICAN SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-15",
        "last_updated": "2008-03-15",
        "status": "A",
        "authorized_official_last_name": "MATYS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "708-822-6680"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2008; 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.