Abc Language Clubhouse Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

146006464 Issued in IL

Legal business name

ABC LANGUAGE CLUBHOUSE INC

Practice address

10769 Broadway
Suite 225
Crown Point, IN 46307-7310

Phone

(630) 340-1629

NPI assigned

Feb 3, 2010

Last updated

Feb 3, 2010By 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

Ms. Tonya AlcornNPI 1215149802

Title

President

Phone

(630) 340-1629

Specialties & licenses 1

Addresses

Locations

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.

• Tonya A Alcorn, MA, CCC-SLP

  • Speech-Language Pathologist
  • Lombard, IL
  • NPI 1215149802
  Authorized official Same address or phone

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1922330802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10769 BROADWAY",
            "address_2": "SUITE 225",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077310",
            "telephone_number": "630-340-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10769 BROADWAY",
            "address_2": "SUITE 225",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077310",
            "telephone_number": "630-340-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC LANGUAGE CLUBHOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-340-1629",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146006464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Early Intervention Provider Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.