Organization Active NPI

Interactive Speech Associates

  • Speech-Language Pathologist
  • Skokie, IL
National Provider Identifier
1609975507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
INTERACTIVE SPEECH ASSOCIATES
Practice address
8340 Lincoln Ave
Suite 101
Skokie, IL 60077-2466
Phone
(847) 982-5126
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Connie Izquierdo, M.A.NPI 1598895575
Title
President
Phone
(847) 982-5126

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 IL Primary

Addresses

Primary practice location

8340 Lincoln Ave
Suite 101
Skokie, IL 60077-2466

Mailing address

8340 Lincoln Ave
Suite 101
Skokie, IL 60077-2466
Phone (847) 982-5126

National Provider Directory

National Provider Directory
Tax ID family
Interactive Speech Associates2 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.

Locations

8340 Lincoln Ave
Ste 101
Skokie, IL 60077
Phone (847) 982-5126

Practitioners & affiliated clinicians

Practitioners 1

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609975507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 LINCOLN AVE",
            "address_2": "SUITE 101",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772466",
            "telephone_number": "847-982-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LINCOLN AVE",
            "address_2": "SUITE 101",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772466",
            "telephone_number": "847-982-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE SPEECH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-982-5126",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.