Speech Suite 815

Speech-Language Pathologist · La Salle, IL

Organization Active NPI

NPI number 1366918682

Practice location

838 1st St
La Salle, IL 61301-2508
Phone
(815) 200-8830
Fax
(815) 714-6202

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NPI record

NPI
1366918682
Entity type
Organization (Type 2)
Enumeration date
October 15, 2018
Last updated
October 15, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

115 Mary Senica Ct
La Salle, IL 61301-9658
Phone
(630) 229-7890
Fax
(815) 714-6202

Authorized official

Name
Mrs. Nicole Lucia Gedraitis, MHS, CCC-SLP/L
Title
Speech and Language Pathologist
Phone
(630) 229-7890

About Speech Suite 815

Speech Suite 815 is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 838 1st St, La Salle, IL 61301-2508. The NPI number 1366918682 was assigned on October 15, 2018 and the record was last updated on October 15, 2018.

The authorized official for this organization is Mrs. Nicole Lucia Gedraitis, MHS, CCC-SLP/L, Speech and Language Pathologist.

Frequently asked questions

What is the NPI number of Speech Suite 815?

The NPI number is 1366918682.

What is the phone number of Speech Suite 815?

The phone number listed for the practice location is (815) 200-8830.

Where is Speech Suite 815 located?

838 1st St, La Salle, IL 61301-2508.

What is the taxonomy code for Speech Suite 815?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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