Provider Demographics
NPI:1235289620
Name:SYLLABLES SPEECH WORKSHOP LLC
Entity Type:Organization
Organization Name:SYLLABLES SPEECH WORKSHOP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TIJAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-727-0340
Mailing Address - Street 1:3617 N TRIPP AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-3038
Mailing Address - Country:US
Mailing Address - Phone:773-727-0340
Mailing Address - Fax:
Practice Address - Street 1:3617 N TRIPP AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-3038
Practice Address - Country:US
Practice Address - Phone:773-727-0340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty