Institute of Accent Modification, Inc.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

147000563 Issued in IL

Legal business name

INSTITUTE OF ACCENT MODIFICATION, INC.

Practice address

125 S Wacker Dr
Suite 300
Chicago, IL 60606-4424

Phone

(312) 635-0099

Fax

(888) 203-5297

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Tracey Ingram, M.A., M.S

Title

President

Phone

(312) 635-0099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1891017901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E JACKSON BLVD",
            "address_2": "SUITE #10-A850",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042263",
            "telephone_number": "312-635-0099",
            "fax_number": "888-203-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S WACKER DR",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064424",
            "telephone_number": "312-635-0099",
            "fax_number": "888-203-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF ACCENT MODIFICATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-635-0099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., M.S"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": "147000563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Hearing and Speech Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.