Organization Active NPI

Smalltalk Speech Pathology LLC

  • Speech-Language Pathologist
  • Lake Forest, IL
National Provider Identifier
1841557162
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.009669 Issued in IL
Legal business name
SMALLTALK SPEECH PATHOLOGY LLC
Practice address
230 Northgate St
#647
Lake Forest, IL 60045-5600
Phone
(847) 302-0294
Fax
(847) 245-2110
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Jean F Meyer, M.S., CCC-SLPNPI 1710126677
Title
President/Ceo
Phone
(847) 302-0294

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146.009669 IL Primary

Addresses

Primary practice location

230 Northgate St
#647
Lake Forest, IL 60045-5600

Mailing address

230 Northgate St
#647
Lake Forest, IL 60045-5600
Phone (847) 302-0294

National Provider Directory

National Provider Directory

Locations

230 Northgate St
Unit 647
Lake Forest, IL 60045
Phone (847) 302-0294

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1841557162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTHGATE ST",
            "address_2": "#647",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600455600",
            "telephone_number": "847-302-0294",
            "fax_number": "847-235-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NORTHGATE ST",
            "address_2": "#647",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600455600",
            "telephone_number": "847-302-0294",
            "fax_number": "847-245-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALLTALK SPEECH PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "847-302-0294",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.