MEDICARE: LAURA SAMBROOKES-MCQUADE, SLPD, CCC-SLP, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	2080P0006X	Developmental - Behavioral Pediatrics Physician
3	224ZF0002X	Feeding, Eating & Swallowing Occupational Therapy Assistant
4	225100000X	Physical Therapist
5	225X00000X	Occupational Therapist
6	225XP0200X	Pediatric Occupational Therapist
7	235Z00000X	Speech-Language Pathologist
8	2251P0200X	Pediatric Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1194867358	OTHER		STATE OF ILLINOIS

General Provider Information

NPI Number	:	1528701562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURA SAMBROOKES-MCQUADE, SLPD, CCC-SLP, PLLC

Provider Business Mailing Address
First Line	:	1516 LEGACY CIR STE 100
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1253
Country	:	US
Telephone Number	:	330-331-5353
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 LEGACY CIR STE 100
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1253
Country	:	US
Telephone Number	:	330-331-5353
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CHARLOTTE LYNN EHLERS
Credential	:
Telephone Number	:	630-337-0343

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	03/10/2023

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Directions to “LAURA SAMBROOKES-MCQUADE, SLPD, CCC-SLP, PLLC ” Practice Location

Language	Start Address	Practice Location

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