Mobile Endoscopix LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MOBILE ENDOSCOPIX LLC

Practice address

3330 Dundee Rd Ste C1
Northbrook, IL 60062

Phone

(847) 380-8992

Fax

(847) 562-0070

NPI assigned

Jun 23, 2015

Organization subpart

No

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

Authorized official

Name

Elizabeth C Roth

Title

Manager

Phone

(847) 508-0404

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Fyfe, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Northbrook, IL
  • NPI 1396167367
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1548642838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD STE C1",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622328",
            "telephone_number": "847-380-8992",
            "fax_number": "847-562-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD STE C1",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-380-8992",
            "fax_number": "847-562-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4390 Route 71",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605439866",
            "country_code": "US",
            "telephone_number": "630-554-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 N Seminary Ave",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600982951",
            "country_code": "US",
            "telephone_number": "815-338-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE ENDOSCOPIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-508-0404"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.