Provider Demographics
NPI:1053826115
Name:SCHOOL DISTRICT 54
Entity Type:Organization
Organization Name:SCHOOL DISTRICT 54
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:ALBRO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP/L
Authorized Official - Phone:773-627-8683
Mailing Address - Street 1:524 E SCHAUMBURG RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3510
Mailing Address - Country:US
Mailing Address - Phone:847-357-5000
Mailing Address - Fax:
Practice Address - Street 1:524 E SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3510
Practice Address - Country:US
Practice Address - Phone:847-357-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.011432235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty