Carroll Dejesus in Chicago - Speech-language Pathologist
Carroll Dejesus - NPI 1043342363
Carroll Dejesus is a Speech-language Pathologist in Chicago, Illinois. Carroll Dejesus practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Carroll Dejesus is 1043342363. The last update date is 2007-07-08.
Carroll Dejesus's current location address is 4028 W Irving Park Rd, Chicago, Illinois. You can contact this provider via phone number 7735456001. The mailing address for Carroll Dejesus is 4028 W Irving Park Rd, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carroll Dejesus |
|---|---|
| Address | 4028 W Irving Park Rd, Chicago, Illinois |
| Phone Number | 7735456001 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043342363 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4028 W Irving Park Rd |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606412925 |
| Phone Number | 7735456001 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: 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. Spe |
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What is the unique 10-digit identification code assigned to Carroll Dejesus by the Centers for Medicare & Medicaid Services?
The Carroll Dejesus has been issued the NPI (National Provider Identifier) 1043342363, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Carroll Dejesus's facilities are geographically located?
The facilities of Carroll Dejesus are physically situated at the following location: 4028 W Irving Park Rd, Chicago, IL, 606412925.
What is Carroll Dejesus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carroll Dejesus is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043342363 to Carroll Dejesus?
The Centers for Medicare & Medicaid Services assigned the 1043342363 to Carroll Dejesus on 2007-03-12.
As of what date were the Carroll Dejesus's details last updated?
The information pertaining to the Carroll Dejesus, including its address, specialty, and other details, was most recently updated on 2007-07-08.