Provider Demographics
NPI:1780769521
Name:GET ON TRACK, INC
Entity type:Organization
Organization Name:GET ON TRACK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KALEMBA-GASSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:815-667-4983
Mailing Address - Street 1:1122 N 2803RD RD
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:IL
Mailing Address - Zip Code:61373-9753
Mailing Address - Country:US
Mailing Address - Phone:815-667-4983
Mailing Address - Fax:815-667-4983
Practice Address - Street 1:1122 N 2803RD RD
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:IL
Practice Address - Zip Code:61373-9753
Practice Address - Country:US
Practice Address - Phone:815-667-4983
Practice Address - Fax:815-667-4983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty