Healthcare Provider Details

I. General information

NPI: 1477851517
Provider Name (Legal Business Name): CHICAGO SPEECH THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2011
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 W WILLOW ST
CHICAGO IL
60642-8978
US

IV. Provider business mailing address

1765 N ELSTON AVE STE 206
CHICAGO IL
60642-1501
US

V. Phone/Fax

Practice location:
  • Phone: 773-620-7800
  • Fax:
Mailing address:
  • Phone: 312-399-0370
  • Fax: 312-278-0072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.0008526
License Number StateIL

VIII. Authorized Official

Name: KAREN GEORGE
Title or Position: OWNER
Credential: MS, CCC-SLP
Phone: 847-826-2047