Provider Demographics
NPI:1750680971
Name:JRSPEECH
Entity Type:Organization
Organization Name:JRSPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST, PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC
Authorized Official - Phone:773-573-0651
Mailing Address - Street 1:343 DARROW AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3246
Mailing Address - Country:US
Mailing Address - Phone:773-573-0651
Mailing Address - Fax:847-733-7616
Practice Address - Street 1:343 DARROW AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3246
Practice Address - Country:US
Practice Address - Phone:773-573-0651
Practice Address - Fax:847-733-7616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No252Y00000XAgenciesEarly Intervention Provider Agency