Active NPI
Lydia Grace Creech, MS, CF-SLP
- Speech-Language Pathologist
- Lombard, IL
National Provider Identifier
1295402022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.006595
- Practice address
- 310 South Main Street
Unit D
Lombard, IL 60148 - Phone
- (630) 652-0200
- Fax
- (630) 652-0300
- NPI assigned
- Aug 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.006595 | IL | Primary |
Addresses
Primary practice location
310 South Main Street
Unit D
Lombard, IL 60148
Mailing address
3517 N Marmora Ave Apt 1S
Chicago, IL 60634-4365
Phone (312) 887-2034
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242.006595 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Speech and Language Disorders | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Elmhurst, IL
- NPI 1477602548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1295402022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 N MARMORA AVE APT 1S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344365",
"telephone_number": "312-887-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SOUTH MAIN STREET",
"address_2": "UNIT D",
"city": "LOMBARD",
"state": "IL",
"postal_code": "60148",
"telephone_number": "630-652-0200",
"fax_number": "630-652-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREECH",
"first_name": "LYDIA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "MS, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-28",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.006595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.