Provider Demographics
NPI:1326386772
Name:SPEECH SERVICES UNLIMITED, INC.
Entity Type:Organization
Organization Name:SPEECH SERVICES UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LISOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-294-0639
Mailing Address - Street 1:2310 W SAINT PAUL AVE
Mailing Address - Street 2:#402
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5624
Mailing Address - Country:US
Mailing Address - Phone:773-294-0639
Mailing Address - Fax:
Practice Address - Street 1:2310 W SAINT PAUL AVE
Practice Address - Street 2:#402
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-5624
Practice Address - Country:US
Practice Address - Phone:773-294-0639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146003965252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency