Provider Demographics
NPI:1366672511
Name:SLP-ALLIED HEALTH STAFFING NETWORK, LTD
Entity Type:Organization
Organization Name:SLP-ALLIED HEALTH STAFFING NETWORK, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:NASSERALI
Authorized Official - Last Name:RAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:773-727-9930
Mailing Address - Street 1:309 OTTAWA LN
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2789
Mailing Address - Country:US
Mailing Address - Phone:773-727-9930
Mailing Address - Fax:630-590-5623
Practice Address - Street 1:309 OTTAWA LN
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2789
Practice Address - Country:US
Practice Address - Phone:773-727-9930
Practice Address - Fax:630-590-5623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060009683252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency