Healthcare Provider Details

I. General information

NPI: 1750680971
Provider Name (Legal Business Name): JRSPEECH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 DARROW AVE
EVANSTON IL
60202-3246
US

IV. Provider business mailing address

343 DARROW AVE
EVANSTON IL
60202-3246
US

V. Phone/Fax

Practice location:
  • Phone: 773-573-0651
  • Fax: 855-940-3210
Mailing address:
  • Phone: 773-573-0651
  • Fax: 847-733-7616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIE RUTH ROSS
Title or Position: SPEECH PATHOLOGIST, PRESIDENT
Credential: MA, C.C.C.
Phone: 773-573-0651