NPIMap

Organization Active NPI

Northwestern University SLL Clinic

  • Clinic/Center
  • Evanston, IL
National Provider Identifier
1972847002
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTHWESTERN UNIVERSITY SLL CLINIC
Practice address
2315 Campus Dr
Evanston, IL 60208-3550
Phone
(847) 491-3165
Fax
(847) 467-7141
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Prof. Sumitrajit Dhar, PHD
Title
Associate Chair
Phone
(847) 491-2470

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Clinic/Center 261Q00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

2315 Campus Dr
Evanston, IL 60208-3550

Mailing address

2315 Campus Dr
Evanston, IL 60208-3550
Phone (847) 491-3165

Other names 1

  • Northwestern University Speech-Language-Learning Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Northwest Univ Hearing7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1972847002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CAMPUS DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602083550",
            "telephone_number": "847-491-3165",
            "fax_number": "847-467-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CAMPUS DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602083550",
            "telephone_number": "847-491-3165",
            "fax_number": "847-467-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN UNIVERSITY SLL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "DHAR",
        "authorized_official_first_name": "SUMITRAJIT",
        "authorized_official_title_or_position": "ASSOCIATE CHAIR",
        "authorized_official_telephone_number": "847-491-2470",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwestern University Speech-Language-Learning Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.