Imaginative SLP, LLC.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

IMAGINATIVE SLP, LLC.

Practice address

10350 S Hamlin Ave
Chicago, IL 60655-3114

Phone

(773) 234-4842

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Kathleen B McDonough, MHSNPI 1215495288

Title

Speech Language Pathologist

Phone

(773) 234-4842

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kathleen Brittney McDonough, MHS

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1215495288
  NPD Authorized official

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1770173064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553114",
            "telephone_number": "773-234-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553114",
            "telephone_number": "773-234-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINATIVE SLP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "773-234-4842",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Chae Hyun Im, DMD
• Helen Im, BCBA
• Hyeyon Im, PT, DPT, OCS
• Pil Bin Im, M.D.
• Imagination Grove Play Therapy PLLC
• Imagine Healthcare LLC
• Imagine Therapy Mindfulness Healing PLLC
• Imaginemd
• Imaginenation ABA LLC
• Tanya Imam, LCSW

• 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 Jan 21, 2021; 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.