Provider Demographics
NPI:1932525961
Name:SPEECH MASTERS INCORPORATED
Entity type:Organization
Organization Name:SPEECH MASTERS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:GANATRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-749-3397
Mailing Address - Street 1:2500 S HIGHLAND AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5390
Mailing Address - Country:US
Mailing Address - Phone:847-749-3397
Mailing Address - Fax:847-749-4391
Practice Address - Street 1:2500 S HIGHLAND AVE STE 330
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5390
Practice Address - Country:US
Practice Address - Phone:847-749-3397
Practice Address - Fax:847-749-4391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146012005235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherIRS