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General NPI Number Information
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NPI Number | 1518984244
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Entity Type | Organization
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Legal Business Name | SPEECH ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 W ADAMS ST SUITE #721
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City | CHICAGO
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State | IL
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Zip | 60607-2926
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Country | US
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Telephone | 847-363-5598
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W ADAMS ST SUITE #721
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City | CHICAGO
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State | IL
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Zip | 60607-2926
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Country | US
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Telephone | 847-363-5598
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHANIE B BLUMBERG
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Credential | M.A. CCC SLP L
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Telephone | 847-363-5598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146-007169
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License Number State | IL
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