Provider Demographics
NPI:1740755164
Name:EXPRESS YOUR BEST, INC
Entity Type:Organization
Organization Name:EXPRESS YOUR BEST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:STUDT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP EI PROVI
Authorized Official - Phone:847-323-9930
Mailing Address - Street 1:269 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-0230
Mailing Address - Country:US
Mailing Address - Phone:847-323-9930
Mailing Address - Fax:
Practice Address - Street 1:269 GARDEN DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124-0230
Practice Address - Country:US
Practice Address - Phone:847-323-9930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL146.004133OtherSPEECH-LANGUAGE PATHOLOGIST
IL1821128703Medicaid