# NORTHWESTERN UNIVERSITY SLL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwestern University Speech-Language-Learning Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972847002
- **Authorized official:** PROF. SUMITRAJIT DHAR PHD (ASSOCIATE CHAIR)
- **Authorized official phone:** (847) 491-2470

## Contact information

- **Practice address:** 2315 CAMPUS DR, EVANSTON, IL 60208-3550
- **Practice address phone:** (847) 491-3165
- **Practice address fax:** (847) 467-7141
- **Mailing address:** 2315 CAMPUS DR, EVANSTON, IL 60208-3550
- **Mailing address phone:** (847) 491-3165
- **Mailing address fax:** (847) 467-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/02/2016