PEDIATRIC PLACE NPI 1427121458

NPI Information

  • NPI: 1427121458
  • Provider Name: PEDIATRIC PLACE
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Organization
  • Address: 1095 PINGREE RD.
    CRYSTAL LAKE, IL
    ZIP 60014
  • Phone: (847) 458-8890

Map and Directions

Get Directions

NPI Details

PEDIATRIC PLACE is a speech-language assistant specialist technologist in Crystal Lake, IL. PEDIATRIC PLACE NPI is 1427121458. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1095 PINGREE RD.
CRYSTAL LAKE, IL
ZIP 60014
Phone: (847) 458-8890

The provider's authorized official is Joan Clark .
The authorized official title is Slpp and has the following contact phone number (847) 458-8890.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/22/2020.

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
12355S0801XSpecialist/TechnologistSpeech-Language AssistantYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI