Provider Demographics
NPI:1548592066
Name:SAMPEY, FRANCIS (MS,CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:SAMPEY
Suffix:
Gender:M
Credentials:MS,CCC-SLP
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:SAMPEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:300 CIRCLE AVE APT 3F
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-1669
Mailing Address - Country:US
Mailing Address - Phone:630-362-8600
Mailing Address - Fax:
Practice Address - Street 1:715 LAKE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1422
Practice Address - Country:US
Practice Address - Phone:708-386-8570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009012235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist