Active NPI
Sider Speech & Language, LLC
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1639657117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146010581
- Legal business name
- SIDER SPEECH & LANGUAGE, LLC
- Practice address
- 1151 N Damen Ave Apt 2C
Chicago, IL 60622-6998 - Phone
- (410) 218-4111
- NPI assigned
- Aug 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Sider, M.A. CCC-SLP/L
- Title
- Speech-Language Pathologist
- Phone
- (410) 218-4111
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146010581 | IL | Primary |
Addresses
Primary practice location
1151 N Damen Ave Apt 2C
Chicago, IL 60622-6998
Mailing address
1151 N Damen Ave Apt 2C
Chicago, IL 60622-6998
Phone (410) 218-4111
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Chicago, IL
- NPI 1912307604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579046400000",
"number": "1639657117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 N DAMEN AVE APT 2C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606226998",
"telephone_number": "410-218-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N DAMEN AVE APT 2C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606226998",
"telephone_number": "410-218-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIDER SPEECH & LANGUAGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-06",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A",
"authorized_official_last_name": "SIDER",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "410-218-4111",
"authorized_official_credential": "M.A. CCC-SLP/L"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146010581",
"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 Jan 15, 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.