Gracie Leeann McNicoll

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.008512 Issued in IL

Practice address

1003 N Damen Ave
Chicago, IL 60622-4391

Phone

(312) 348-6288

NPI assigned

Jul 24, 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": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1285516641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W DEMING PL APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145946",
            "telephone_number": "406-291-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224391",
            "telephone_number": "312-348-6288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1957 W Dickens Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606143934",
            "country_code": "US",
            "telephone_number": "773-789-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNICOLL",
        "first_name": "GRACIE",
        "middle_name": "LEEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.008512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise H McNicholas
• Elissa McNicholas
• Meghan Hart McNicholas
• Robert A McNicholas, DDS
• Angela Dawn McNichols, PSY.D
• Marjorie McNiece, OTR/L
• Amanda McNulty
• Amanda Jean McNulty, APRN, CNP
• Bruce W McNulty, MD
• Claire Marie McNulty, CCC-SLP

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, 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 Jul 24, 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.