Carolyn Russell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14516164 Issued in IL

Practice address

85 Revere Dr
Northbrook, IL 60062-8001

Phone

(773) 490-9521

NPI assigned

Apr 16, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1285420323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 OLD GLENVIEW RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912999",
            "telephone_number": "773-490-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628001",
            "telephone_number": "773-490-9521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Old Glenview Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912999",
            "country_code": "US",
            "telephone_number": "773-490-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14516164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Ruiz-Diosdadp
• Ana Sylvia Ruiz
• Elizabeth Ruiz
• Sheryl Lynn Runions, ATC
• Laura Covington Rusch, PH.D.
• William Young Russell, LPC
• Amy Ryan
• Jessica Ryan, PSY.D.
• Jordan Ryan
• Yarema Rybitskyi

• Speech-Language Pathologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.