Healthcare Provider Details

I. General information

NPI: 1639067218
Provider Name (Legal Business Name): LITTLE CHATTERBOX THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 FOREST AVE
DOWNERS GROVE IL
60515-2049
US

IV. Provider business mailing address

4220 FOREST AVE
DOWNERS GROVE IL
60515-2049
US

V. Phone/Fax

Practice location:
  • Phone: 708-232-6717
  • Fax:
Mailing address:
  • Phone: 708-232-6717
  • 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: BANSARI AMIN
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 518-210-9267