Healthcare Provider Details

I. General information

NPI: 1326963620
Provider Name (Legal Business Name): BREWSTER CREEK SPEECH AND LANGUAGE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

866 BREWSTER LN
BARTLETT IL
60103-1611
US

IV. Provider business mailing address

866 BREWSTER LN
BARTLETT IL
60103-1611
US

V. Phone/Fax

Practice location:
  • Phone: 847-815-4753
  • Fax:
Mailing address:
  • Phone: 847-815-4753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. NAOMI EILEEN WARREN-ROSS
Title or Position: OWNER/SLP
Credential: CLINSCD, CCC-SLP
Phone: 847-815-4753