Light Street Ei, LLC

NPI #1376928689 in Glenview, Illinois

Provider Information

NPI Number: 1376928689
Entity Type: Organization
Organization Name: Light Street Ei, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LEARN-IT SYSTEMS
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Jul 28, 2015
Last Updated: Jul 20, 2016

Practice Location

Address: 2700 PATRIOT BLVD
Address 2: SUITE 250
City: Glenview
State: Illinois
ZIP Code: 60026-8021
Phone: (815) 931-8595

Authorized Official

Name: MICHAEL MALONEY
Title: PRESIDENT
Phone: (410) 369-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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