Organization Active NPI

Suburban Pediatric Therapies

  • Speech-Language Pathologist
  • Aurora, IL
National Provider Identifier
1467525832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUBURBAN PEDIATRIC THERAPIES
Practice address
3965 75TH St
Ste 104
Aurora, IL 60504-7913
Phone
(630) 236-7000
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karin E Sudlow
Title
Owner
Phone
(630) 236-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X IL Primary

Addresses

Primary practice location

3965 75TH St
Ste 104
Aurora, IL 60504-7913

Mailing address

3965 75TH St
Ste 104
Aurora, IL 60504-7913
Phone (630) 236-7000

National Provider Directory

National Provider Directory
Tax ID family
Suburban Pediatric Therapies3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467525832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 75TH ST",
            "address_2": "STE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047913",
            "telephone_number": "630-236-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 75TH ST",
            "address_2": "STE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047913",
            "telephone_number": "630-236-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PEDIATRIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUDLOW",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-236-7000"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.