Organization Active NPI

Tarle Speech and Language Services LLC

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1982990503
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
IL146.007392 Issued in IL
Legal business name
TARLE SPEECH AND LANGUAGE SERVICES LLC
Practice address
622 W Oakdale Ave Apt 4
Chicago, IL 60657-5396
Phone
(216) 272-7039
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Jennifer Tarle-Pakulski, MA CCC-SLP
Title
Owner and Lead Speech Therapist
Phone
(216) 272-7039

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X IL146.007392 IL Primary
Early Intervention Provider Agency 252Y00000X SP5600 OH

Addresses

Primary practice location

622 W Oakdale Ave Apt 4
Chicago, IL 60657-5396

Mailing address

622 W Oakdale Ave Apt 4
Chicago, IL 60657-5396
Phone (216) 272-7039

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1982990503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W OAKDALE AVE APT 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575396",
            "telephone_number": "216-272-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W OAKDALE AVE APT 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575396",
            "telephone_number": "216-272-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARLE SPEECH AND LANGUAGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "TARLE-PAKULSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER AND LEAD SPEECH THERAPIST",
        "authorized_official_telephone_number": "216-272-7039",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "IL146.007392",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "OH",
            "license": "SP5600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.