NPIMap

Organization Active NPI

Sovereign Rehabilitation of Illinois

  • Hearing and Speech Clinic/Center
  • Naperville, IL
National Provider Identifier
1598217697
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SOVEREIGN REHABILITATION OF ILLINOIS
Practice address
1315 Macom Dr
Suite 103
Naperville, IL 60564-9358
Phone
(630) 585-7337
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Mrs. Denniger J Debra, OTD
Title
Director of Pedriatric Therapy
Phone
(630) 585-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X IL Primary

Addresses

Primary practice location

1315 Macom Dr
Suite 103
Naperville, IL 60564-9358

Mailing address

1315 Macom Dr
Suite 103
Naperville, IL 60564-9358
Phone (630) 585-7337

National Provider Directory

National Provider Directory
Tax ID family
Sovereign Pediatric2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1598217697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR",
            "address_2": "SUITE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649358",
            "telephone_number": "630-585-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR",
            "address_2": "SUITE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649358",
            "telephone_number": "630-585-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN REHABILITATION OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "DEBRA",
        "authorized_official_first_name": "DENNIGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF PEDRIATRIC THERAPY",
        "authorized_official_telephone_number": "630-585-7337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.