Organization Active NPI

Ultra Intervention, LLC

  • Speech-Language Pathologist
  • Aurora, IL
National Provider Identifier
1487963799
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008950 Issued in IL
Legal business name
ULTRA INTERVENTION, LLC
Practice address
4169 Milford LN
Aurora, IL 60504-2103
Phone
(630) 499-9141
Fax
(630) 499-9146
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Pamala Onuchukwu, MS/CCC-SLP
Title
Speech-Language Pathologist
Phone
(630) 335-1527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146008950 IL Primary

Addresses

Primary practice location

4169 Milford LN
Aurora, IL 60504-2103

Mailing address

4169 Milford LN
Aurora, IL 60504-2103
Phone (630) 499-9141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1487963799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 MILFORD LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605042103",
            "telephone_number": "630-499-9141",
            "fax_number": "630-499-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 MILFORD LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605042103",
            "telephone_number": "630-499-9141",
            "fax_number": "630-499-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "ONUCHUKWU",
        "authorized_official_first_name": "PAMALA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "630-335-1527",
        "authorized_official_credential": "MS/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008950",
            "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 Oct 4, 2010; 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.