Omega Therapy Services, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

OMEGA THERAPY SERVICES, INC

Practice address

1276 Twilight Way
Bolingbrook, IL 60490-4951

Phone

(847) 477-9689

Fax

(815) 254-3611

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

LV Tucker Jr., SLP

Title

Owber

Phone

(847) 477-9689

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1821380379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1944",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604407664",
            "telephone_number": "847-477-9689",
            "fax_number": "815-254-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 TWILIGHT WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904951",
            "telephone_number": "847-477-9689",
            "fax_number": "815-254-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LV",
        "authorized_official_title_or_position": "OWBER",
        "authorized_official_telephone_number": "847-477-9689",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bolingbrook, IL
• Providers in Bolingbrook, 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 May 3, 2011; 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.