Provider Demographics
NPI:1093376360
Name:LM SPEECH & LANGUAGE THERAPY P.C.
Entity Type:Organization
Organization Name:LM SPEECH & LANGUAGE THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-921-2007
Mailing Address - Street 1:4 CHURCH CT
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1606
Mailing Address - Country:US
Mailing Address - Phone:708-921-2007
Mailing Address - Fax:708-390-0449
Practice Address - Street 1:4 CHURCH CT
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1606
Practice Address - Country:US
Practice Address - Phone:708-921-2007
Practice Address - Fax:708-390-0449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty