Pediatric Communication Specialists, LTD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC COMMUNICATION SPECIALISTS, LTD

Practice address

11600 S Kedzie Ave
Merrionette Park, IL 60803-6302

Phone

(708) 597-4036

Fax

(708) 597-4037

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Lowery, MHS, CCC

Title

Speech Language Pathologist

Phone

(708) 597-4036

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881603025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036302",
            "telephone_number": "708-597-4036",
            "fax_number": "708-597-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036302",
            "telephone_number": "708-597-4036",
            "fax_number": "708-597-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC COMMUNICATION SPECIALISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH  LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "708-597-4036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHS, CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360745436001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326462740001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Merrionette Park, 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 22, 2020; 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.