NPIMap

Organization Active NPI

Crossroads Speech Therapy P.C.

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1013379411
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146009787 Issued in IL
Legal business name
CROSSROADS SPEECH THERAPY P.C.
Practice address
1509 W Roscoe St
Chicago, IL 60657-1311
Phone
(847) 924-2390
NPI assigned
Mar 24, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine Lorraine Dimond, MA CCC-SLPNPI 1275834855
Title
Speech and Language Pathologist
Phone
(847) 924-2390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146009787 IL Primary

Addresses

Primary practice location

1509 W Roscoe St
Chicago, IL 60657-1311

Mailing address

1509 W Roscoe St
Chicago, IL 60657-1311
Phone (847) 924-2390

National Provider Directory

National Provider Directory

Locations

2101 Waukegan Rd
Ste 204
Bannockburn, IL 60015
Phone (847) 604-0027

2833 N Clybourn Ave
Chicago, IL 60618
Phone (847) 604-0027

1920 Waukegan Rd
Ste 212
Glenview, IL 60025
Phone (847) 604-0027

191 Waukegan Rd
Ste 203
Northfield, IL 60093
Phone (847) 604-0027

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1013379411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571311",
            "telephone_number": "847-924-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571311",
            "telephone_number": "847-924-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SPEECH THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "DIMOND",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-924-2390",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.