NPI Code Detail JSON Logo

1568923621 NPI number — THE PLACE FOR SPEECH THERAPY LLC

NPI Number: 1568923621
Health Care Provider/Practitioner: THE PLACE FOR SPEECH THERAPY LLC

Information about “1568923621” NPI (THE PLACE FOR SPEECH THERAPY LLC) exists in 1568923621 in HTML format HTML  |  1568923621 in plain Text format TXT  |  1568923621 in PDF (Portable Document Format) PDF  |  1568923621 in an XML format XML  formats.

NPI Number : 1568923621 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568923621",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE PLACE FOR 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": "8609 W BRYN MAWR AVE STE 204",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60631-3524",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-726-1416",
    "MailingAddressFaxNumber": "224-241-3132",
    "FirstLinePracticeLocationAddress": "8609 W BRYN MAWR AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60631-3524",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-644-7787",
    "PracticeLocationAddressFaxNumber": "224-241-3132",
    "EnumerationDate": "03/29/2019",
    "LastUpdateDate": "07/05/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ONEIL",
    "AuthorizedOfficialFirstName": "ALLISON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "773-644-7787",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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