NPIMap

Organization Active NPI

Sunshine Therapy Center of Illinois, Inc

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1508221771
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146004187 Issued in IL
Legal business name
SUNSHINE THERAPY CENTER OF ILLINOIS, INC
Practice address
8825 S Constance Ave
Chicago, IL 60617-2955
Phone
(773) 620-4726
Fax
(773) 240-4012
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Dr. Gwendolyn EasterlingNPI 1477784221
Title
President
Phone
(773) 620-4726

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146004187 IL Primary

Addresses

Primary practice location

8825 S Constance Ave
Chicago, IL 60617-2955

Mailing address

8825 S Constance Ave
Chicago, IL 60617-2955
Phone (773) 620-4726

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": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1508221771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 S CONSTANCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172955",
            "telephone_number": "773-620-4726",
            "fax_number": "773-240-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S CONSTANCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172955",
            "telephone_number": "773-620-4726",
            "fax_number": "773-240-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE THERAPY CENTER OF ILLINOIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-620-4726",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004187",
            "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 Dec 15, 2015; 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.