=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922514876
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPOT IT ALL THERAPY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/14/2017
-----------------------------------------------------
Last Update Date | 07/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1601 S HALSTED ST APT 205
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60608-4455
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-250-5414
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1601 S HALSTED ST APT 205
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60608-4455
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-250-5414
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, SLP
-----------------------------------------------------
Name | DANA GARTLAN
-----------------------------------------------------
Credential | MS, CCC-SLP
-----------------------------------------------------
Telephone | 708-250-5414
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 14601197
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------