NORTHWESTERN UNIVERSITY SLL CLINIC (NPI# 1972847002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972847002 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN UNIVERSITY SLL CLINIC |
| Other Organization Name | NORTHWESTERN UNIVERSITY SPEECH-LANGUAGE-LEARNING CLINIC |
| Practice Address |
2315 Campus Dr Evanston IL 60208-3550 |
| Practice Telephone | 8474913165 |
| Practice Fax Number | 8474677141 |
| Mailing Telephone | 8474913165 |
| Mailing Fax Number | 8474670410 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | PROF. SUMITRAJIT DHAR (ASSOCIATE CHAIR) |
| Authorized Official Telephone | 8474912470 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northwestern University Speech-Language-Learning Clinic | Other Name - Individual/Organization |
| Street Address |
2315 CAMPUS DR |
| City | EVANSTON |
| State | IL |
| Zip Code | 60208-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699935494 | Meaghan Alice Moriarty | Speech-Language Pathologist | 2315 Campus Dr, Evanston, IL 60208-3622 | 2008-06-15 |
| 1811472509 | Brittany Manning | Speech-Language Pathologist | 2315 Campus Dr, Evanston, IL 60208-0897 | 2018-09-27 |
| 1285178483 | Zoe Palko | Student in an Organized Health Care Education/Training Program | 2315 Campus Dr, Evanston, IL 60208-0897 | 2016-12-07 |
| 1093267478 | Frank Vansanten | Psychologist | 2315 Campus Dr, Evanston, IL 60208-0897 | 2016-11-01 |
| 1457801664 | Center for Audiology, Speech, Language, and Learning | Clinic/Center | 2315 Campus Dr, Evanston, IL 60208-0897 | 2016-10-12 |
| 1912395336 | Susan Taber Mulhern | Speech-Language Pathologist | 2315 Campus Dr, Evanston, IL 60208-0001 | 2015-01-07 |
| 1811295744 | Karen Kinderman | Speech-Language Pathologist | 2315 Campus Dr, Evanston, IL 60208-3510 | 2011-03-01 |
| 1891947727 | Catherine Anne Fabian | Audiologist | 2315 Campus Dr, Evanston, IL 60208 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128089 | Courtney Jones | Specialist/Technologist | 1501 Central St., Evanston, IL 60208 | 2006-03-16 |
| 1467456004 | Bridget A Hannum | Nurse Practitioner | Northwestern University 633 Emerson, Evanston, IL 60208 | 2005-06-10 |
| 1417487471 | Jack Scott | Audiologist | 2315 Campus Drive Nucasll, Evanston, IL 60208-0001 | 2017-06-13 |
| 1588038699 | Robin Lynn Dodds | Developmental Therapist | Center for Audiology Speech Language And, Northwestern University 2315 Campus Drive, Evanston, IL 60208-0001 | 2015-12-01 |
| 1831565936 | Natalie Morales | Specialist/Technologist | 2255 Campus Drive, Evanston, IL 60208-0001 | 2015-08-12 |
| 1750612115 | Northwestern University Intercollegiate Sports Medicine | Clinic/Center | 2703 Ashland Ave, Northwestern University Sports Medicine, Evanston, IL 60208-0001 | 2010-01-26 |
| 1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
| 1114551793 | Peter Ritz | 2255 Campus Drive, Evanston, IL 60208-0001 | 2020-02-24 | |
| 1669879888 | Romero Rayne Huffstead | Student in an Organized Health Care Education/Training Program | Counseling and Psychological Services, Northwestern University, Evanston, IL 60208-0001 | 2014-12-03 |
| 1316916364 | Lisa Marie Palazzolo | Physical Therapist | 909 Davis St, Evanston, IL 60208-0001 | 2006-03-14 |
| Find all providers in zip 60208 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221107 | Outside The Pill Box Ltd | Clinic/Center | 2535 Princeton Ave, Evanston, IL 60201-4940 | 2020-07-03 |
| 1457801664 | Center for Audiology, Speech, Language, and Learning | Clinic/Center | 2315 Campus Dr, Evanston, IL 60208-0897 | 2016-10-12 |
| 1275926123 | Heart of Transformation Wellness Institute Sc | Clinic/Center | 1618 Orrington Ave, Suite 206, Evanston, IL 60201-5016 | 2015-03-16 |
| 1457799926 | First Presbyterian Church | Clinic/Center | 1427 Chicago Ave, Evanston, IL 60201-4726 | 2013-06-06 |
| 1225318629 | Daniel John Wilke, D.c., P.a. | Clinic/Center | 1601 Sherman Ave, Suite 540, Evanston, IL 60201-5038 | 2011-08-17 |
| 1609019462 | North Shore University Healthsystems Evanston Hospital | Clinic/Center | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2009-04-09 |
| 1821240714 | Daniel Yamshon, D.o.s.c. | Clinic/Center | 800 Austin St, Evanston, IL 60202-3439 | 2008-10-22 |
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|---|---|---|---|---|
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| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.