Authentic Expression, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146007347 Issued in IL

Legal business name

AUTHENTIC EXPRESSION, LLC

Practice address

7919 Central Ave
Morton Grove, IL 60053-3607

Phone

(847) 881-6442

NPI assigned

Aug 15, 2016

Last updated

Aug 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi Rabe, CCC-SLPNPI 1437326774

Title

Speech-Language Pathologist

Phone

(847) 881-6442

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, and the practitioner matching its NPPES authorized official.

• Heidi L. Rabe

  • Speech-Language Pathologist
  • Morton Grove, IL
  • NPI 1437326774
  NPD (past) Authorized official

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1871047258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 CENTRAL AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533607",
            "telephone_number": "847-881-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 CENTRAL AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533607",
            "telephone_number": "847-881-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC EXPRESSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "RABE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-881-6442",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asmsc-Morton Grove Il SC
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• Aster Pharmacy LLC (aster pharmacy)
• Augusto Guerra Autea, PT
• Awe Charity Foundation (AWE Homemaker Services)
• Irfan Babariya, APRN
• Christos D. Baboulas, DDS
• Kathy Bailey, M.D
• Lauren Bakula

• Speech-Language Pathologist in Morton Grove, IL
• Providers in Morton Grove, 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 Aug 15, 2016; 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.