Provider Demographics
NPI:1992172928
Name:LOGOS THERAPY PC
Entity type:Organization
Organization Name:LOGOS THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-323-5951
Mailing Address - Street 1:660 BEAU CT
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5846
Mailing Address - Country:US
Mailing Address - Phone:708-323-5951
Mailing Address - Fax:708-607-4003
Practice Address - Street 1:660 BEAU CT
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-5846
Practice Address - Country:US
Practice Address - Phone:708-323-5951
Practice Address - Fax:708-607-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty