Provider Demographics
NPI:1013161280
Name:WINDY CITY SPEECH, LLC
Entity Type:Organization
Organization Name:WINDY CITY SPEECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:PATEL
Authorized Official - Last Name:GICALE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SLP
Authorized Official - Phone:312-391-3786
Mailing Address - Street 1:1050 W DAKIN ST
Mailing Address - Street 2:1A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2937
Mailing Address - Country:US
Mailing Address - Phone:312-391-3786
Mailing Address - Fax:773-681-7168
Practice Address - Street 1:1050 W DAKIN ST
Practice Address - Street 2:1A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-2937
Practice Address - Country:US
Practice Address - Phone:312-391-3786
Practice Address - Fax:773-681-7168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-007518252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency