=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306710140
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | I CONNECT INTERPRETING SERVICE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2025
-----------------------------------------------------
Last Update Date | 10/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15524 SAYRE AVE
-----------------------------------------------------
City | OAK FOREST
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60452-1582
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-369-9100
-----------------------------------------------------
Fax | 708-810-7557
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15524 SAYRE AVE
-----------------------------------------------------
City | OAK FOREST
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60452-1582
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-369-9100
-----------------------------------------------------
Fax | 708-810-7557
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. NAHED ELAYYAN
-----------------------------------------------------
Credential | DT
-----------------------------------------------------
Telephone | 708-369-9100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 252Y00000X
-----------------------------------------------------
Taxonomy Name | Early Intervention Provider Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------