Nancy Jaffe M.S. CCC/SLP Speech-Language Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.001564 Issued in IL

Legal business name

NANCY JAFFE M.S. CCC/SLP SPEECH-LANGUAGE PATHOLOGY

Practice address

5834 Teal LN
Long Grove, IL 60047-5067

Phone

(708) 751-2419

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Ellen Jaffe, M.S. CCC/SLP

Title

Speech-Language Pathologist

Phone

(708) 751-2419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1407237514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 TEAL LN",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 TEAL LN",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475067",
            "telephone_number": "708-751-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY JAFFE M.S. CCC/SLP SPEECH-LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "708-751-2419",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.001564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mae Grace Mendoza, APN
• Corrin Miranda, FNP
• Albert George Mitsos, M.D.
• Vikaruddin Mohammed, M.D.
• Carol Margaret Molyneux, OTRL OCCUPATIONAL TH
• Natural Medicine Group SC
• Jennifer Navarro, LCSW
• Michelle A Navarro, PSY D
• Kimberly Nicholson, APN
• Agnieszka Nieciunski, APN

• Speech-Language Pathologist in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.