MEDICARE: CORPORATESPEEK INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	146006026	IN

General Provider Information

NPI Number	:	1184941569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORPORATESPEEK INC

Provider Business Mailing Address
First Line	:	2145 W 95TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-1018
Country	:	US
Telephone Number	:	773-233-7855
Fax Number	:

Provider Business Practice Location Address
First Line	:	2145 W 95TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-1018
Country	:	US
Telephone Number	:	773-233-7855
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. AKILIA DT MCCAIN
Credential	:	MA, CCC-SLP
Telephone Number	:	773-233-7855

Provider Enumeration Date	:	04/26/2010
Last Update Date	:	04/26/2010

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Directions to “CORPORATESPEEK INC ” Practice Location

Language	Start Address	Practice Location

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