Blazing Prairie Stars in Maple Park - Speech-language Pathologist
Blazing Prairie Stars - NPI 1215089800
Blazing Prairie Stars is a Speech-language Pathologist in Maple Park, Illinois. Blazing Prairie Stars practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Blazing Prairie Stars is 1215089800. The last update date is 2020-08-22.
Blazing Prairie Stars's current location address is 47w635 Beith Road, Maple Park, Illinois. You can contact this provider via phone number 6303655550 and fax number 6303659550. The mailing address for Blazing Prairie Stars is 47w635 Beith Road, Maple Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blazing Prairie Stars |
|---|---|
| Address | 47w635 Beith Road, Maple Park, Illinois |
| Phone Number | 6303655550 |
| Fax Number | 6303659550 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Raack B Catherine |
| Credentials | M.A.CCC-SL |
| Telephone Number | 6303655550 |
NPI Number Detail
| NPI Number | 1215089800 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 47w635 Beith Road |
|---|---|
| City | Maple Park |
| State | Illinois (IL) |
| Post Code | 601518802 |
| Phone Number | 6303655550 |
| Fax Number | 6303659550 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4532110 | IL | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the unique identifier code issued to Blazing Prairie Stars by the Centers for Medicare & Medicaid Services (CMS)?
The Blazing Prairie Stars has been assigned the NPI (National Provider Identifier) 1215089800. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Blazing Prairie Stars's physical address?
The Blazing Prairie Stars is physically located at 47W635 Beith Road, in the city of Maple Park, IL, with the postal code 601518802.
What is Blazing Prairie Stars's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blazing Prairie Stars's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Blazing Prairie Stars receive the assignment of its 1215089800 from the Centers for Medicare & Medicaid Services?
The Blazing Prairie Stars was issued its 1215089800 by the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information regarding Blazing Prairie Stars, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Blazing Prairie Stars, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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