1013801596 NPI number — SPEECH BITES THERAPY PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013801596 NPI number — SPEECH BITES THERAPY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPEECH BITES THERAPY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013801596
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
207 W HARTFORD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCHAUMBURG
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60193-3943
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
799 ROOSEVELT RD.
Provider Second Line Business Practice Location Address:
BUILDING 6, SUITE 300
Provider Business Practice Location Address City Name:
GLEN ELLYN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-248-7006
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2025

Additional Information

Authorized Official

Authorized Official Last Name:
CONNELLY
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
D
Authorized Official Title or Position:
SOLE MEMBER/OWNER
Authorized Official Telephone Number:
630-248-7006

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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