Organization Active NPI

Speech Breakthroughs PC

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1861752438
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
146008743 Issued in IL
Legal business name
SPEECH BREAKTHROUGHS PC
Practice address
1157 E 61St St
Apt # 1
Chicago, IL 60637-2740
Phone
(773) 407-6655
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Mrs. Courtney Lequana Mathews
Title
Speech Pathologist/Owner
Phone
(773) 407-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 146008743 IL Primary

Addresses

Primary practice location

1157 E 61St St
Apt # 1
Chicago, IL 60637-2740

Mailing address

1157 E 61St St
Apt # 1
Chicago, IL 60637-2740
Phone (773) 407-6655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1861752438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 E 61ST ST",
            "address_2": "APT # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372740",
            "telephone_number": "773-407-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 E 61ST ST",
            "address_2": "APT # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372740",
            "telephone_number": "773-407-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH BREAKTHROUGHS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "LEQUANA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "773-407-6655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146008743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.