Provider Demographics
NPI:1962759233
Name:BEYOND MILESTONES THERAPY INC.
Entity type:Organization
Organization Name:BEYOND MILESTONES THERAPY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MHS-CCC-SLP/L
Authorized Official - Phone:708-528-6463
Mailing Address - Street 1:11735 S MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-1524
Mailing Address - Country:US
Mailing Address - Phone:708-528-6463
Mailing Address - Fax:
Practice Address - Street 1:11049 S FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-1813
Practice Address - Country:US
Practice Address - Phone:708-528-6463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty