Covenant Care Therapy LTD.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COVENANT CARE THERAPY LTD.

Practice address

1875 W 108TH PL
Chicago, IL 60643-3331

Phone

(773) 615-6433

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa R. Hallom, MS. CCC-SLP/L

Title

Speech Pathologist

Phone

(773) 615-6433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1700072006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 W 108TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W 108TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433331",
            "telephone_number": "773-615-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE THERAPY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "HALLOM",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "773-615-6433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS. CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Covarrubias, IBCLC
• Diana M Covelli, DPM
• Nicolas Jose Covelli III, MSW
• Nicole Covello
• Rebecca Lynn Coven, OTR/L
• Covenant Healthcare Services & Staffing Inc.
• Covenant Home of Chicago
• Coventry Counseling PLLC
• Coventry Village Healthcare
• Ryan Coventry, M.A.

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, 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 20, 2007; 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.