Individual provider Active NPI

Paige Avery Petrando, CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1144837840
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146016142 Issued in IL
Practice address
700 N Green St
Chicago, IL 60642-5996
Phone
(203) 927-5975
NPI assigned
Sep 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242006120 IL
Speech-Language Pathologist 235Z00000X 146016142 IL Primary

Addresses

Primary practice location

700 N Green St
Chicago, IL 60642-5996

Mailing address

7844 W Golf Dr
Palos Heights, IL 60463-1964
Phone (203) 927-5975

Other practice location 1

1442 Old Skokie Rd
Highland Park, IL 60035-3032
Phone (847) 707-6744

Other practice location 2

1700 W 83rd St
Chicago, IL 60620-4621
Phone (773) 488-1634

Other identifiers 1

IdentifierTypeStateIssuer
1221901MedicaidIL

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

State licenses

LicenseStateTypeSpecialty
146016142ILMDSpeech-Language Pathologist
242006120ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech Therapy Studio LLC 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": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1144837840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7844 W GOLF DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631964",
            "telephone_number": "203-927-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N GREEN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425996",
            "telephone_number": "203-927-5975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1442 Old Skokie Rd",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600353032",
            "country_code": "US",
            "telephone_number": "847-707-6744",
            "fax_number": "847-786-2156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 W 83rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606204621",
            "country_code": "US",
            "telephone_number": "773-488-1634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRANDO",
        "first_name": "PAIGE",
        "middle_name": "AVERY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242006120",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146016142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1221901",
            "state": "IL"
        }
    ],
    "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 Jan 11, 2026; 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.