West Suburban Speech Clinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.003248 Issued in IL

Legal business name

WEST SUBURBAN SPEECH CLINIC

Practice address

1S224 Summit Ave
Suite 306
Oakbrook Terrace, IL 60181-3983

Phone

(630) 932-4599

Fax

(630) 426-9102

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leona M Hubatch, PH.D., CCCNPI 1477654655

Title

Director and Owner

Phone

(630) 932-4599

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Leona M Hubatch, PH.D., CCC

  • Speech-Language Pathologist
  • Oakbrook Terrace, IL
  • NPI 1477654655
  NPD (past) Authorized official

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1710183207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S224 SUMMIT AVE",
            "address_2": "SUITE 306",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813983",
            "telephone_number": "630-932-4599",
            "fax_number": "630-426-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S224 SUMMIT AVE",
            "address_2": "SUITE 306",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813983",
            "telephone_number": "630-932-4599",
            "fax_number": "630-426-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN SPEECH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "HUBATCH",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "630-932-4599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, 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 Aug 13, 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.