Speech Path LTD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146006125 Issued in IL

Legal business name

SPEECH PATH LTD

Practice address

31480 N US Highway 45
Libertyville, IL 60048-9444

Phone

(847) 680-2715

Fax

(847) 680-3832

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Chet Caruth, LSP

Title

Licensed Speech-Pathologist

Phone

(847) 680-2715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1699084541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31480 N US HIGHWAY 45",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489444",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31480 N US HIGHWAY 45",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489444",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "CARUTH",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "LICENSED SPEECH-PATHOLOGIST",
        "authorized_official_telephone_number": "847-680-2715",
        "authorized_official_credential": "LSP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anshuman Soni, DDS
• Wilfred E Soppe, CRNA
• Marta Pedziwiatr Speakman, DDS
• Brittany Spear, LPC, NCC
• Specialty Diagnostic Services, LLC
• Melvin Speisman, MD
• Adriana Marie Spellman, M.D.
• Bonnie Lee Spina, L.AC.
• Aaron Spivey
• Lisa Srour, LCSW

• Speech-Language Pathologist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.