IMAGINATION THERAPY, LLC (NPI# 1235646894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235646894 |
| Entity Type | Organization |
| Organization Name | IMAGINATION THERAPY, LLC |
| Practice Address |
805 Lake St # 235 Oak Park IL 60301-1301 |
| Practice Telephone | 7083052176 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MISS KATHERINE M WILKIE (OWNER/SPEECH PATHOLOGIST) |
| Authorized Official Telephone | 7083052176 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.011712 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1154756443 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 Harrison St Apt 2s, Oak Park, IL 603041349 | 7083052176 | |
| 743 S East Ave, Oak Park, IL 603041325 | 7083052176 |
| Street Address |
805 LAKE ST # 235 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377321 | Rachel Convey | Speech-Language Pathologist | 362 North Oak Hills Dr, Oak Park, CA 91377 | 2020-02-07 |
| 1093353005 | Molly Alampi | Speech-Language Pathologist | 23420 Manistee St, Oak Park, MI 48237-2224 | 2019-12-20 |
| 1053964825 | Madeline S Dillman | Speech-Language Pathologist | 429 N Marion St Ste 203, Oak Park, IL 60302-1800 | 2019-07-22 |
| 1265908867 | Jennifer Harper | Speech-Language Pathologist | 136 N Marion St Ste 202, Oak Park, IL 60301-1027 | 2018-10-22 |
| 1033620042 | Anne Elizabeth Ciosek | Speech-Language Pathologist | 260 Madison St, Oak Park, IL 60302-4112 | 2017-10-17 |
| 1366968166 | Lisa Pearah | Speech-Language Pathologist | 1219 Columbian Ave, Oak Park, IL 60302-1227 | 2017-08-14 |
| 1265967970 | Michael Price | Speech-Language Pathologist | 518 N Austin Blvd, Oak Park, IL 60302-2947 | 2017-05-01 |
| 1255798062 | Amy Lipple | Speech-Language Pathologist | 25900 Greenfield Road, Suite 100, Oak Park, MI 48237-1297 | 2016-01-25 |
| 1568850824 | Bayla Landsman | Speech-Language Pathologist | 26100 Raine St, Oak Park, MI 48237-1024 | 2015-01-08 |
| 1326456716 | Lila Evans | Speech-Language Pathologist | 1222 Woodbine Ave, Oak Park, IL 60302-1214 | 2014-07-29 |
| Find all providers in OAK PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.