Eiu Speech Language Hearing Clinic

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

EIU SPEECH LANGUAGE HEARING CLINIC

Practice address

600 Lincoln Ave
Charleston, IL 61920-3011

Phone

(217) 581-2712

Fax

(217) 581-7105

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Frank Goldacker

Title

Clinic Director

Phone

(217) 581-2712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1710112792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LINCOLN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619203011",
            "telephone_number": "217-581-2712",
            "fax_number": "217-581-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LINCOLN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619203011",
            "telephone_number": "217-581-2712",
            "fax_number": "217-581-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIU SPEECH LANGUAGE HEARING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "GOLDACKER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "217-581-2712"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Illinois Area of Special Education
• Eastern Illinois University Health Service
• Crystal Edwards
• David Jedidiah Ehlers, LCPC
• Francesca Lynn Ehlers, MS
• Mark Emenecker, D.O.
• Empowerme Rehabilitation Illinois, LLC
• Pamela Ervin
• Mark D. Esarey, O.D.
• Jherum Bardoquillo Espejo, PT, DPT

• Hearing and Speech Clinic/Center in Charleston, IL
• Providers in Charleston, IL by specialty
• Hearing and Speech Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.