Provider Demographics
NPI:1033971452
Name:SPEECHLY LLC
Entity Type:Organization
Organization Name:SPEECHLY LLC
Other - Org Name:SPEECHLY LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:SLPD, CCC-SLP
Authorized Official - Phone:630-465-6122
Mailing Address - Street 1:264 PORTAGE LN UNIT D
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-3107
Mailing Address - Country:US
Mailing Address - Phone:630-465-6122
Mailing Address - Fax:
Practice Address - Street 1:264 PORTAGE LN UNIT D
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-3107
Practice Address - Country:US
Practice Address - Phone:630-465-6122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech