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1396447827 NPI number — RAGUSA PEDIATRIC SPEECH THERAPY LLC

NPI Number: 1396447827
Health Care Provider/Practitioner: RAGUSA PEDIATRIC SPEECH THERAPY LLC

Information about “1396447827” NPI (RAGUSA PEDIATRIC SPEECH THERAPY LLC) exists in 1396447827 in HTML format HTML  |  1396447827 in plain Text format TXT  |  1396447827 in PDF (Portable Document Format) PDF  |  1396447827 in an XML format XML  formats.

NPI Number : 1396447827 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396447827",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RAGUSA PEDIATRIC SPEECH THERAPY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5313 N OLCOTT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60656-1711",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-722-0421",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5313 N OLCOTT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60656-1711",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-722-0421",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/20/2023",
    "LastUpdateDate": "03/20/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAGUSA",
    "AuthorizedOfficialFirstName": "MELINDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "847-722-0421",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "252Y00000X",
        "TaxonomyName": "Early Intervention Provider Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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