Pediatric Place in Crystal Lake - Speech-language Assistant
Pediatric Place - NPI 1427121458
Pediatric Place is a Speech-language Assistant in Crystal Lake, Illinois. Pediatric Place practices all healthcare services and medical treatments related to Speech-language Assistant. The NPI Number for Pediatric Place is 1427121458. The last update date is 2020-08-22.
Pediatric Place's current location address is 1095 Pingree Rd., Crystal Lake, Illinois. You can contact this provider via phone number 8474588890. The mailing address for Pediatric Place is 1095 Pingree Rd., Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Place |
|---|---|
| Address | 1095 Pingree Rd., Crystal Lake, Illinois |
| Phone Number | 8474588890 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SLPP |
|---|---|
| Authorized Official Name | Clark Joan |
| Telephone Number | 8474588890 |
NPI Number Detail
| NPI Number | 1427121458 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1095 Pingree Rd. |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 60014 |
| Phone Number | 8474588890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Assistant |
|---|---|
| Taxonomy | 2355S0801X |
|
Definition: Assists speech-language pathologists in providing communication and swallowing healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Pediatric Place by the Centers for Medicare & Medicaid Services?
The Pediatric Place has been assigned the NPI (National Provider Identifier) 1427121458 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Pediatric Place's physical address?
The Pediatric Place is physically located at 1095 Pingree Rd., in the city of Crystal Lake, IL, with the postal code 60014.
What is the area of specialization for Pediatric Place, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pediatric Place is Speech-language Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 2355S0801X.
On what date did the Pediatric Place receive the assignment of its 1427121458 from the Centers for Medicare & Medicaid Services?
The Pediatric Place was issued its 1427121458 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date were the details related to Pediatric Place most recently updated or revised?
The information pertaining to Pediatric Place, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.