Individual provider Active NPI

Melissa Cronnolly

  • Speech-Language Pathologist
  • Des Plaines, IL
National Provider Identifier
1275415143
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.008376 Issued in IL
Practice address
1660 Oakton PL
Des Plaines, IL 60018-2045
Phone
(847) 299-5588
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 242.008376 IL Primary

Addresses

Primary practice location

1660 Oakton PL
Des Plaines, IL 60018-2045

Mailing address

1219 Linden Ave
Park Ridge, IL 60068-5521
Phone (312) 656-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224001818 IL Practitioner - Qualified Speech Language Pathologist 9739660192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10400 W Higgins Rd
Suite 300
Rosemont, IL 60018-3708

1219 Linden Ave
Park Ridge, IL 60068-5521

1601 Lake Cook Rd
Deerfield, IL 60015-5271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242.008376ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Council for Jewish Elderly CurrentSince Feb 2, 2026 Accepting new patients

Locations

3003 W Touhy Ave
Chicago, IL 60645
Phone (773) 508-1000

1601 Lake Cook Rd
Deerfield, IL 60015
Phone (773) 508-4475

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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1275415143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 LINDEN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685521",
            "telephone_number": "312-656-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 OAKTON PL",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182045",
            "telephone_number": "847-299-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONNOLLY",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.008376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.