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ADVANCED THERAPY & WELLNESS CENTER P.C. NPI 1336616986


NPI Information

NPI: 1336616986
Provider Name: ADVANCED THERAPY & WELLNESS CENTER, P.C.

Former Legal Business Name: ADVANCED SPEECH THERAPY, INC

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
16009 EXECUTIVE DR
CREST HILL, IL
ZIP 60403
Phone: (815) 782-4196
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ADVANCED THERAPY & WELLNESS CENTER, P.C. is a speech language pathologist in Crest Hill, IL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. ADVANCED THERAPY & WELLNESS CENTER, P.C. NPI is 1336616986. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Advanced Speech Therapy, Inc.

The provider's business location address is:

16009 EXECUTIVE DR
CREST HILL, IL
ZIP 60403-500
Phone: (815) 782-4196

The provider's authorized official is Margaret Stoch .
The authorized official title is Slp/president and has the following contact phone number (815) 782-4196.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 2/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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