Provider Demographics
NPI:1184064008
Name:YORK BILINGUAL SPEECH SERVICES, LLC
Entity type:Organization
Organization Name:YORK BILINGUAL SPEECH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNAH
Authorized Official - Middle Name:F
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:312-498-8471
Mailing Address - Street 1:2025 N WHIPPLE ST
Mailing Address - Street 2:APT.GN
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-4075
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2025 N WHIPPLE ST
Practice Address - Street 2:APT.GN
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-4075
Practice Address - Country:US
Practice Address - Phone:312-498-8471
Practice Address - Fax:773-345-3642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-009078235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty