Provider Demographics
NPI:1104114701
Name:SYED, NARGESS KATOR (SLP)
Entity type:Individual
Prefix:
First Name:NARGESS
Middle Name:KATOR
Last Name:SYED
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FAIRFAX CT
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5039
Mailing Address - Country:US
Mailing Address - Phone:630-947-4479
Mailing Address - Fax:630-689-2556
Practice Address - Street 1:4 FAIRFAX CT
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5039
Practice Address - Country:US
Practice Address - Phone:630-947-4479
Practice Address - Fax:630-689-2556
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-16
Last Update Date:2011-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.010289235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist