Olivia Mossides, M.S., SLP - CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146017384 Issued in IL

Practice address

836 W Wellington Ave Ste 3809
Chicago, IL 60657-5147

Phone

(773) 296-3066

NPI assigned

Dec 17, 2024

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1316754914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N LA SALLE DR APT 709",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546342",
            "telephone_number": "630-853-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE STE 3809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSIDES",
        "first_name": "OLIVIA",
        "credential": "M.S., SLP - CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146017384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia E Moss, APRN, CNM
• Matthew Craig Moss, M.D.
• Monica Moss, M.S., CCC-SLP
• Olivia Moss, M.S., R.D.
• Stephanie Enright Moss
• Rosemarie Mossman
• Stormy Lynn Mosson
• Most High Transportation
• Mostafa Mohamed Atef Mostafa
• Lagha Mostajabi

• 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 Dec 17, 2024; 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.