Healthcare Provider Details

I. General information

NPI: 1629995642
Provider Name (Legal Business Name): ACHIEVE THERAPIES SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6137 N BERNARD ST
CHICAGO IL
60659-2211
US

IV. Provider business mailing address

6137 N BERNARD ST
CHICAGO IL
60659-2211
US

V. Phone/Fax

Practice location:
  • Phone: 877-522-4438
  • Fax:
Mailing address:
  • Phone:
  • 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: BASIE GOLDFEDER
Title or Position: CEO
Credential: OT
Phone: 877-522-4438