SQUARE ONE KIDS, LLC (NPI# 1174632186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174632186 |
| Entity Type | Organization |
| Organization Name | SQUARE ONE KIDS, LLC |
| Practice Address |
9736 S Hamilton Ave Chicago IL 60643-1644 |
| Practice Telephone | 7733438484 |
| Practice Fax Number | 7733050954 |
| Mailing Telephone | 7733438484 |
| Mailing Fax Number | 7733050954 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | MRS. SUSAN MARIE CONNOR (DIRECTOR) |
| Authorized Official Telephone | 7733438484 |
| Authorized Official Credential | M.ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
9736 S HAMILTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821117573 | Susan Marie Connor | Specialist | 9736 S Hamilton Ave, Chicago, IL 60643-1644 | 2007-03-27 |
| 1164548376 | Deborah Provenzano | Specialist/Technologist | 9736 S Hamilton Ave, Chicago, IL 60643-1644 | 2007-03-21 |
| 1386753226 | Diane Vasilevich | Speech-Language Pathologist | 9736 S Hamilton Ave, Chicago, IL 60643-1644 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| 1144837840 | Paige Avery Cianciolo | Speech-Language Pathologist | 1700 W 83rd St, Chicago, IL 60620-4621 | 2020-09-26 |
| 1558975565 | Leela A Rao | Speech-Language Pathologist | 1140 S Wabash Ave Apt 1609, Chicago, IL 60605-2330 | 2020-09-08 |
| 1457960155 | Anant Kaur Shergill | Speech-Language Pathologist | 3729 N Oakley Ave Unit 1, Chicago, IL 60618-4812 | 2020-07-28 |
| 1689283608 | Jamie Lynn Payne | Speech-Language Pathologist | 600 W Roosevelt Rd Ste 2e, Chicago, IL 60607-4912 | 2020-07-26 |
| 1144839242 | Shana Birger | Speech-Language Pathologist | 942 W Sheridan Rd Apt 3a, Chicago, IL 60613-6487 | 2020-07-24 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.