Disco Tech LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DISCO TECH LLC

Practice address

2536 N Sawyer Ave Apt 207
Chicago, IL 60647-6592

Phone

(262) 623-7337

NPI assigned

Dec 30, 2024

Organization subpart

No

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

Authorized official

Name

Kellie Willis, M.S., CCC-SLPNPI 1093375743

Title

Owner/Founder

Phone

(262) 623-7337

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kellie Ann Willis, MS, CF-SLP

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1093375743
  NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1417765967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 N SAWYER AVE APT 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 N SAWYER AVE APT 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476592",
            "telephone_number": "262-623-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCO TECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "262-623-7337",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, 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 Dec 30, 2024; 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.