Provider Demographics
NPI:1457585564
Name:GRIGAS, RUTA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:RUTA
Middle Name:
Last Name:GRIGAS
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 1:7942 W 121ST ST
Mailing Address - Street 2:
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1267
Mailing Address - Country:US
Mailing Address - Phone:708-217-2629
Mailing Address - Fax:
Practice Address - Street 1:7942 W 121ST ST
Practice Address - Street 2:LETS TALK SPEECH THERAPY
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1267
Practice Address - Country:US
Practice Address - Phone:708-217-2629
Practice Address - Fax:708-361-5410
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010543235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist