| Organization Name: | TIS CHALLENGING SPEECH |
| NPI Number: | 1790751287 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNE RANE BYERS SPRAETZ (SPEECH PATHOLOGIST) |
| Mailing Address: | 1706 Superior Ave Savanna |
| State: | IL US |
| Postal Code: | 61074 |
| Phone Number: | 8152734354 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2006 |
| NPI Last Update Date: | 08/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |