Organization Active NPI

Avni Speech Therapy P.C.

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1467595652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AVNI SPEECH THERAPY P.C.
Practice address
4711 N Dover St
#2
Chicago, IL 60640-4687
Phone
(773) 502-6225
Fax
(773) 561-6554
NPI assigned
Feb 15, 2007
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
Tamar A Losev, M.A.CCC-SLP
Title
President
Phone
(773) 502-6225

Specialties & licenses 1

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

Addresses

Primary practice location

4711 N Dover St
#2
Chicago, IL 60640-4687

Mailing address

4711 N Dover St
#2
Chicago, IL 60640-4687
Phone (773) 502-6225

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467595652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 N DOVER ST",
            "address_2": "#2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404687",
            "telephone_number": "773-502-6225",
            "fax_number": "773-561-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 N DOVER ST",
            "address_2": "#2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404687",
            "telephone_number": "773-502-6225",
            "fax_number": "773-561-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVNI SPEECH THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOSEV",
        "authorized_official_first_name": "TAMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-502-6225",
        "authorized_official_credential": "M.A.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, 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.