Provider Demographics
NPI:1891921987
Name:COMMUNICATION THERAPY, P.C.
Entity Type:Organization
Organization Name:COMMUNICATION THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:773-988-0820
Mailing Address - Street 1:2320 N DAMEN AVE STE 2F
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-3367
Mailing Address - Country:US
Mailing Address - Phone:773-988-0820
Mailing Address - Fax:
Practice Address - Street 1:2320 N DAMEN AVE STE 2F
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3367
Practice Address - Country:US
Practice Address - Phone:773-988-0820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008686251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health