Organization Active NPI

Hoolsema Therapy, Inc

  • Speech-Language Pathologist
  • Carpentersville, IL
National Provider Identifier
1487911970
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HOOLSEMA THERAPY, INC
Practice address
6612 Majestic Way
Carpentersville, IL 60110
Phone
(847) 702-7195
Fax
(847) 836-1068
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Evanne M Hoolsema, PHD, CCC-SLPNPI 1902835515
Title
President
Phone
(847) 702-7195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Early Intervention Provider Agency 252Y00000X 146003795 IL

Addresses

Primary practice location

6612 Majestic Way
Carpentersville, IL 60110

Mailing address

6612 Majestic Way
Carpentersville, IL 60110
Phone (847) 702-7195

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": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1487911970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 MAJESTIC WAY",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "60110",
            "telephone_number": "847-702-7195",
            "fax_number": "847-836-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 MAJESTIC WAY",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "60110",
            "telephone_number": "847-702-7195",
            "fax_number": "847-836-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOLSEMA THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "HOOLSEMA",
        "authorized_official_first_name": "EVANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-702-7195",
        "authorized_official_credential": "PHD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146003795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpentersville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.