Organization Active NPI

Chicagoland Therapy Associates LTD

  • Speech-Language Pathologist
  • Glencoe, IL
National Provider Identifier
1497772909
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHICAGOLAND THERAPY ASSOCIATES LTD
Practice address
111 Hogarth LN
Box 417
Glencoe, IL 60022-1325
Phone
(847) 835-0660
Fax
(847) 835-0670
NPI assigned
Jul 17, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Ms. Susan R Gaines, GTR L
Title
President
Phone
(847) 835-0660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

111 Hogarth LN
Box 417
Glencoe, IL 60022-1325

Mailing address

111 Hogarth LN
PO Box 417
Glencoe, IL 60022-1325
Phone (847) 835-0660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1497772909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOGARTH LN",
            "address_2": "PO BOX 417",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221325",
            "telephone_number": "847-835-0660",
            "fax_number": "847-835-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOGARTH LN",
            "address_2": "BOX 417",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221325",
            "telephone_number": "847-835-0660",
            "fax_number": "847-835-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND THERAPY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-835-0660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "GTR L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.