Provider Demographics
NPI:1275774382
Name:SOUND CENTER INCORPORATED
Entity Type:Organization
Organization Name:SOUND CENTER INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:EPPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:630-435-5622
Mailing Address - Street 1:2021 MIDWEST RD
Mailing Address - Street 2:STE 200
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1342
Mailing Address - Country:US
Mailing Address - Phone:630-435-5622
Mailing Address - Fax:630-953-8687
Practice Address - Street 1:2021 MIDWEST RD
Practice Address - Street 2:STE 200
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1342
Practice Address - Country:US
Practice Address - Phone:630-435-5622
Practice Address - Fax:630-953-8687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146005646235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty