Organization Active NPI

SLM Developmental, Inc.

  • Early Intervention Provider Agency
  • Dolton, IL
National Provider Identifier
1811369788
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SLM DEVELOPMENTAL, INC.
Practice address
14212 Cottage Grove Ave Unit 52
Dolton, IL 60419-6004
Phone
(708) 953-4605
NPI assigned
Oct 30, 2015
Last updated
Dec 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Sharon Muhammad, DTNPI 1912280884
Title
Owner
Phone
(708) 953-4605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

14212 Cottage Grove Ave Unit 52
Dolton, IL 60419-6004

Mailing address

14212 Cottage Grove Ave Unit 52
Dolton, IL 60419-6004
Phone (708) 953-4605

National Provider Directory

National Provider Directory

Locations

14212 Cottage Grove Ave
Unit 52
Dolton, IL 60419
Phone (708) 953-4605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1811369788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14212 COTTAGE GROVE AVE UNIT 52",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604196004",
            "telephone_number": "708-953-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14212 COTTAGE GROVE AVE UNIT 52",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604196004",
            "telephone_number": "708-953-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLM DEVELOPMENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-953-4605",
        "authorized_official_credential": "DT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.