Provider Demographics
NPI:1982163564
Name:INCLUSIVE SPEECH & LANGUAGE SERVICES LLC
Entity Type:Organization
Organization Name:INCLUSIVE SPEECH & LANGUAGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ATOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DINKHA
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP/L
Authorized Official - Phone:773-827-4495
Mailing Address - Street 1:5700 N LINCOLN AVE STE 217
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4731
Mailing Address - Country:US
Mailing Address - Phone:773-827-4495
Mailing Address - Fax:
Practice Address - Street 1:5700 N LINCOLN AVE STE 217
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4731
Practice Address - Country:US
Practice Address - Phone:773-827-4495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2019-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty