Provider Demographics
NPI:1790367969
Name:ADVANCED SPEECH AND SWALLOW PLLC
Entity Type:Organization
Organization Name:ADVANCED SPEECH AND SWALLOW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASCHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-715-0321
Mailing Address - Street 1:13027 KELLEY RD
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:IL
Mailing Address - Zip Code:61088-9367
Mailing Address - Country:US
Mailing Address - Phone:630-715-0321
Mailing Address - Fax:
Practice Address - Street 1:13027 KELLEY RD
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:IL
Practice Address - Zip Code:61088-9367
Practice Address - Country:US
Practice Address - Phone:630-715-0321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech