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NPI Code Detail

MEDICARE: ALBRIGHT SPEECH SERVICES, LLC

MEDICARE: ALBRIGHT SPEECH SERVICES, LLC
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
1222Q00000XDevelopmental TherapistIL
2225X00000XOccupational Therapist
3225XP0200XPediatric Occupational Therapist
4221700000XArt Therapist
5224Z00000XOccupational Therapy Assistant
6235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1427236264
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBRIGHT SPEECH SERVICES, LLC
Provider Business Mailing Address
First Line : 1957 W DICKENS AVE
Second Line : UNIT 1
City : CHICAGO
State : IL
Zip : 60614-3934
Country : US
Telephone Number : 312-848-6315
Fax Number : 877-227-0804
Provider Business Practice Location Address
First Line : 1957 W DICKENS AVE
Second Line : UNIT 1
City : CHICAGO
State : IL
Zip : 60614-3934
Country : US
Telephone Number : 312-848-6315
Fax Number : 877-227-0804
Authorized Official
Title or Position : OWNER
Name : AMANDA ALBRIGHT
Credential :
Telephone Number : 312-848-6315
Provider Enumeration Date : 02/04/2008
Last Update Date : 02/23/2016

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