Organization Active NPI

Northside Speech Solutions P.C.

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1598087793
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NORTHSIDE SPEECH SOLUTIONS P.C.
Practice address
1760 W Wrightwood Ave
315
Chicago, IL 60614-1945
Phone
(317) 508-7565
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Lauren Hulse
Title
President
Phone
(317) 508-7565

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Home Health Agency 251E00000X 146.009511 IL
Early Intervention Provider Agency 252Y00000X 146.009511 IL

Addresses

Primary practice location

1760 W Wrightwood Ave
315
Chicago, IL 60614-1945

Mailing address

1760 W Wrightwood Ave
315
Chicago, IL 60614-1945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1598087793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 W WRIGHTWOOD AVE",
            "address_2": "315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 W WRIGHTWOOD AVE",
            "address_2": "315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141945",
            "telephone_number": "317-508-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE SPEECH SOLUTIONS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "HULSE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-508-7565"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "146.009511",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146.009511",
            "primary": false
        }
    ],
    "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 Jun 23, 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.