Provider Demographics
NPI:1477874386
Name:TWIN TALKERS S.C.
Entity Type:Organization
Organization Name:TWIN TALKERS S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:JUDGE
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:815-823-4357
Mailing Address - Street 1:17008 CREIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-1325
Mailing Address - Country:US
Mailing Address - Phone:815-823-4357
Mailing Address - Fax:815-600-8244
Practice Address - Street 1:17008 CREIGHTON DR
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-1325
Practice Address - Country:US
Practice Address - Phone:815-823-4357
Practice Address - Fax:815-600-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146006960235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1053427039OtherINDIVIDUAL PROVIDER NPI NUMBER