Provider Demographics
NPI:1851478804
Name:PARTNERS IN COMMUNICATION DEV LTD
Entity Type:Organization
Organization Name:PARTNERS IN COMMUNICATION DEV LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PALIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLPL
Authorized Official - Phone:708-448-7423
Mailing Address - Street 1:7440 W COLLEGE DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463
Mailing Address - Country:US
Mailing Address - Phone:708-448-7423
Mailing Address - Fax:708-448-7843
Practice Address - Street 1:7440 W COLLEGE DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463
Practice Address - Country:US
Practice Address - Phone:708-448-7423
Practice Address - Fax:708-448-7843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01630337OtherBLUE CROSS BLUE SHIELD