Active NPI
West Suburban Speech Pathology
- Home Health Agency
- Westchester, IL
National Provider Identifier
1447572516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 146009757
- Legal business name
- WEST SUBURBAN SPEECH PATHOLOGY
- Practice address
- 2224 Mayfair Ave
Westchester, IL 60154-5061 - Phone
- (773) 501-1328
- NPI assigned
- Feb 17, 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
- Mrs. Amy V Russell, M.S.
- Title
- Managing Director
- Phone
- (773) 501-1328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 146009757 | IL | Primary |
Addresses
Primary practice location
2224 Mayfair Ave
Westchester, IL 60154-5061
Mailing address
2224 Mayfair Ave
Westchester, IL 60154-5061
Phone (773) 501-1328
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Westchester, IL
- NPI 1548597628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266364800000",
"number": "1447572516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 MAYFAIR AVE",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545061",
"telephone_number": "773-501-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 MAYFAIR AVE",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545061",
"telephone_number": "773-501-1328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SUBURBAN SPEECH PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2010-02-17",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "773-501-1328",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "146009757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
- Hope Charysse Wasz, B.S, R.PH
- Richard Wawrzonkowski, MS, BCBA, LBA
- Jennifer Ann Weaver, CADC
- West Suburban Medical Center
- West Suburban Pediatric Associates PC
- Westbrook Open MRI, LLC.
- Westbrook Wellness Internal Medicine, SC
- Westchester Diagnostic Laboratory
- Westchester Eye Surgeons, S.C.
- Westchester Family Dental LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.