Organization Active NPI

Sider Speech & Language, LLC

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1639657117
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146010581 Issued in IL
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

Updated by the provider on Jan 15, 2020

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/LNPI 1912307604
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.