Provider Demographics
NPI:1811401250
Name:ARAD, SHEILA (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:ARAD
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 WHITE PINE DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-6434
Mailing Address - Country:US
Mailing Address - Phone:773-526-8709
Mailing Address - Fax:
Practice Address - Street 1:8701 MENARD AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3052
Practice Address - Country:US
Practice Address - Phone:847-966-8600
Practice Address - Fax:847-965-0003
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146008597235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL235Z00000XOtherSLP