Lakeview Speech and Language Clinic, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

56009800 Issued in IL

Legal business name

LAKEVIEW SPEECH AND LANGUAGE CLINIC, LLC

Practice address

822 N Cuyler Ave
Oak Park, IL 60302-1408

Phone

(773) 573-7709

NPI assigned

Feb 11, 2016

Last updated

Feb 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Trumbell, MA, CCC-SLPNPI 1831329358

Title

Owner

Phone

(773) 573-7709

Specialties & licenses 1

Addresses

Tax ID family

Lakeview Speech and Language Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeview Speech and Language Clinic, LLC

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1316373137
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Tuyn Trumbell, M.A., CCC-SLP/L

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1831329358
  Authorized official Same address or phone

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1457710063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 N CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021408",
            "telephone_number": "773-573-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021408",
            "telephone_number": "773-573-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SPEECH AND LANGUAGE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "TRUMBELL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-573-7709",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "56009800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Kyle, MD
• Sydney Lady
• Michelle Lagos, LCSW
• Lake Street Family Physicians SC Inc
• Lakeshore Gastroenterology and Liver Disease Institute S.C.
• Saradkumar M Lakhani, DDS
• Karole A Lakota Treese, MD
• Anand Lal, MD
• Laura Lammers, PSY.D.
• Land of Lincoln Hearing, Inc.

• Pediatric Occupational Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.