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General NPI Number Information
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NPI Number | 1891921987
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Entity Type | Organization
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Legal Business Name | COMMUNICATION THERAPY, P.C.
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 06/03/2009
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Provider Practice Location Address
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Address Line | 2320 N DAMEN AVE STE 2F
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City | CHICAGO
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State | IL
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Zip | 60647-3367
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Country | US
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Telephone | 773-988-0820
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 N DAMEN AVE STE 2F
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City | CHICAGO
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State | IL
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Zip | 60647-3367
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Country | US
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Telephone | 773-988-0820
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JORDAN SARAH SADLER
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Credential | MS, CCC-SLP
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Telephone | 773-988-0820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 146.008686
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License Number State | IL
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