Provider Demographics
NPI:1689745812
Name:SPEECH IN THE CITY, LLC
Entity Type:Organization
Organization Name:SPEECH IN THE CITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SPEECH-PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP
Authorized Official - Phone:773-388-8918
Mailing Address - Street 1:2105 N SOUTHPORT AVE UNIT 202
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:773-388-8914
Practice Address - Street 1:2105 N SOUTHPORT AVE UNIT 202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-4044
Practice Address - Country:US
Practice Address - Phone:773-388-8918
Practice Address - Fax:773-388-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty