Individual provider Active NPI

Emily Patricia Monteagudo Crohn, M.S. CCC-SLP/L

  • Speech-Language Pathologist
  • La Grange Park, IL
National Provider Identifier
1073944344
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242002822 Issued in IL
Practice address
901 Forest Rd
La Grange Park, IL 60526
Phone
(708) 408-0017
NPI assigned
Dec 11, 2013
Last updated
Nov 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242002822 IL Primary

Addresses

Primary practice location

901 Forest Rd
La Grange Park, IL 60526

Mailing address

1821 W Patterson Ave Apt 1
Chicago, IL 60613-3521
Phone (170) 840-8001

Other practice location 1

4242 N Sheridan Rd
Apt. 607
Chicago, IL 60613-4904
Phone (708) 408-0017

Other practice location 2

1422 W Willow St
Chicago, IL 60642-8978
Phone (708) 408-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242002822ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Invincible Speech Therapy PLLC Speech-Language Pathologist CurrentSince Jan 12, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1073944344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 W PATTERSON AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133521",
            "telephone_number": "170-840-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FOREST RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "60526",
            "telephone_number": "708-408-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4242 N Sheridan Rd",
            "address_2": "Apt. 607",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606134904",
            "country_code": "US",
            "telephone_number": "708-408-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1422 W Willow St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606428978",
            "country_code": "US",
            "telephone_number": "708-408-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROHN",
        "first_name": "EMILY PATRICIA",
        "middle_name": "MONTEAGUDO",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242002822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.