Organization Active NPI

Speak Up, LLC

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1699004986
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
146005861 Issued in IL
Legal business name
SPEAK UP, LLC
Practice address
6036 N Olympia Ave
Chicago, IL 60631-3847
Phone
(847) 609-0524
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Diane M Vasilevich
Title
Primary Member
Phone
(847) 609-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 146005861 IL Primary

Addresses

Primary practice location

6036 N Olympia Ave
Chicago, IL 60631-3847

Mailing address

6036 N Olympia Ave
Chicago, IL 60631-3847
Phone (847) 609-0524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1699004986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 N OLYMPIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313847",
            "telephone_number": "847-609-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N OLYMPIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313847",
            "telephone_number": "847-609-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK UP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "VASILEVICH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRIMARY MEMBER",
        "authorized_official_telephone_number": "847-609-0524"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146005861",
            "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 Dec 15, 2009; 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.