TIS CHALLENGING SPEECH NPI 1790751287

NPI Information

NPI: 1790751287
Provider Name: TIS CHALLENGING SPEECH

Doing Business As: JEANNE BYERS SPRAETZ

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
1706 SUPERIOR AVE
SAVANNA, IL
ZIP 61074
Phone: (815) 273-4354
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TIS CHALLENGING SPEECH is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Savanna, IL. TIS CHALLENGING SPEECH NPI is 1790751287. The provider is registered as an organization entity type.
The provider Is Doing Business As Jeanne Byers Spraetz.

The provider's business location address is:

1706 SUPERIOR AVE
SAVANNA, IL
ZIP 61074
Phone: (815) 273-4354

The provider's authorized official is Jeanne Rane Byers Spraetz .
The authorized official title is Speech Pathologist and has the following contact phone number (561) 212-7490.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 8/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	346488095001	MEDICAID	ILLINOIS
2	=========610	MEDICAID	ILLINOIS
3	146589	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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