Provider Demographics
NPI:1366174898
Name:BARRINGTON PEDIATRIC SPEECH SERVICES PLLC
Entity type:Organization
Organization Name:BARRINGTON PEDIATRIC SPEECH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP/L
Authorized Official - Phone:630-291-4682
Mailing Address - Street 1:25548 N BROKEN BOW PASS
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-1405
Mailing Address - Country:US
Mailing Address - Phone:224-633-9811
Mailing Address - Fax:
Practice Address - Street 1:25548 N BROKEN BOW PASS
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-1405
Practice Address - Country:US
Practice Address - Phone:224-633-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty