Organization Active NPI

Love Institute

  • Speech-Language Pathologist
  • South Holland, IL
National Provider Identifier
1447618194
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
L14031808 Issued in IL
Legal business name
LOVE INSTITUTE
Practice address
17070 S Park Ave
Suite E
South Holland, IL 60473-3389
Phone
(773) 234-6367
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Mr. Jonathan Love
Title
Speech Pathologist
Phone
(312) 933-0127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X L14031808 IL Primary

Addresses

Primary practice location

17070 S Park Ave
Suite E
South Holland, IL 60473-3389

Mailing address

6941 S Crandon Ave
Chicago, IL 60649-1715
Phone (312) 933-0127

Other identifiers 1

IdentifierTypeStateIssuer
1851459630MedicaidIL

National Provider Directory

National Provider Directory

Locations

17070 S Park Ave
Ste E
South Holland, IL 60473
Phone (708) 825-1116

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1447618194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 S CRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491715",
            "telephone_number": "312-933-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 S PARK AVE",
            "address_2": "SUITE E",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733389",
            "telephone_number": "773-234-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "312-933-0127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "L14031808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851459630",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.