Park Ridge Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PARK RIDGE SPEECH THERAPY LLC

Practice address

206 N Merrill St
Park Ridge, IL 60068-3526

Phone

(847) 840-0139

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Olivia M Hallagan, MS, CCC-SLPNPI 1295352284

Title

Speech-Language Pathologist

Phone

(847) 840-0139

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.

• Olivia Marie Hallagan, MS, CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1295352284
  NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1841069796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MERRILL ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683526",
            "telephone_number": "847-840-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MERRILL ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683526",
            "telephone_number": "847-840-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "HALLAGAN",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-840-0139",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Park Ridge Psychotherapy and Counseling Services, Inc.
• Park Ridge Service Corporation
• Park Ridge Skilled Nursing Facility LLC
• Park Ridge Vision LLC
• Alexander Scott Park, D.C.
• Claire Sun Park, MD
• Eunyoung Park, D.D.S.
• Hong Andy Park, M.D.

• Speech-Language Pathologist in Park Ridge, IL
• Providers in Park Ridge, 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 Dec 20, 2023; 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.