Individual provider Active NPI

Colleen M Staruck, M.S.

  • Speech-Language Pathologist
  • Glen Ellyn, IL
National Provider Identifier
1144386277
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008486 Issued in IL
Practice address
549 Taylor Ave
Glen Ellyn, IL 60137-4242
Phone
(773) 354-3798
Fax
(630) 984-4484
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 146008486 IL Primary

Addresses

Primary practice location

549 Taylor Ave
Glen Ellyn, IL 60137-4242

Mailing address

549 Taylor Ave
Glen Ellyn, IL 60137-4242
Phone (773) 354-3798

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
146008486ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Express Inc. Speech-Language Pathologist Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1144386277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 TAYLOR AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374242",
            "telephone_number": "773-354-3798",
            "fax_number": "630-984-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 TAYLOR AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374242",
            "telephone_number": "773-354-3798",
            "fax_number": "630-984-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARUCK",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.