Provider Demographics
NPI:1992982813
Name:JOYFUL NOISE SPEECH SERVICES LLC
Entity type:Organization
Organization Name:JOYFUL NOISE SPEECH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:TERESE
Authorized Official - Last Name:WEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS SLP-CCC/L
Authorized Official - Phone:630-240-3154
Mailing Address - Street 1:1203 E LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5934
Mailing Address - Country:US
Mailing Address - Phone:630-240-3154
Mailing Address - Fax:630-517-8139
Practice Address - Street 1:1203 E LIBERTY DR
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5934
Practice Address - Country:US
Practice Address - Phone:630-240-3154
Practice Address - Fax:630-517-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008396235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02233409OtherBLUE CROSS BLUE SHIELD