Individual provider Active NPI

Christine Allison Driscoll, M.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1275029415
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146013900 Issued in IL
Practice address
1757 N Kimball Ave # 205a
Chicago, IL 60647-4805
Phone
(630) 417-2334
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 146013900 IL Primary

Addresses

Primary practice location

1757 N Kimball Ave # 205a
Chicago, IL 60647-4805

Mailing address

2243 W Thomas St # 1
Chicago, IL 60622-3515
Phone (630) 417-2334

Other practice location 1

310 N Loomis St
Chicago, IL 60607
Phone (312) 243-8487

Other practice location 2

278 N Baynard Rd
Addison, IL 60101-2173
Phone (630) 417-2334

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
146013900ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speakeasy Speech and Language Services Inc Speech-Language Pathologist CurrentSince Oct 30, 2022 Accepting new patients

Locations

1757 N Kimball Ave
#205A
Chicago, IL 60647
Phone (630) 417-2334

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1275029415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 W THOMAS ST # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223515",
            "telephone_number": "630-417-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 N KIMBALL AVE # 205A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474805",
            "telephone_number": "630-417-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N Loomis St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60607",
            "country_code": "US",
            "telephone_number": "312-243-8487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 N Baynard Rd",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "IL",
            "postal_code": "601012173",
            "country_code": "US",
            "telephone_number": "630-417-2334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "CHRISTINE",
        "middle_name": "ALLISON",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013900",
            "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 Aug 16, 2023; 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.