Provider Demographics
NPI:1982062071
Name:SPEECH AND LANGUAGE PATHWAYS, LLC
Entity Type:Organization
Organization Name:SPEECH AND LANGUAGE PATHWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLGOIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-329-2389
Mailing Address - Street 1:507 E LYNNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3934
Mailing Address - Country:US
Mailing Address - Phone:847-268-3799
Mailing Address - Fax:
Practice Address - Street 1:507 E LYNNWOOD AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3934
Practice Address - Country:US
Practice Address - Phone:847-268-3799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.009956225X00000X
225XP0200X, 235Z00000X
IL146.012008235Z00000X
IL146.008697235Z00000X
IL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty