Active NPI
Hoolsema Therapy, Inc
- Speech-Language Pathologist
- Carpentersville, IL
National Provider Identifier
1487911970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evanne M Hoolsema, PHD, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Carpentersville, IL
- NPI 1902835515
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.