Individual provider Active NPI

Edward Anthony Strugalla, M.H.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Batavia, IL
National Provider Identifier
1346672524
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.012303 Issued in IL
Practice address
1001 E Wilson St Ste 100
Batavia, IL 60510-3157
Phone
(630) 761-0900
Fax
(630) 761-0909
NPI assigned
Jul 30, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 146.012303 IL Primary

Addresses

Primary practice location

1001 E Wilson St Ste 100
Batavia, IL 60510-3157

Mailing address

38W930 McNair Dr
Geneva, IL 60134-6176
Phone (630) 404-3652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814002082 IL Practitioner - Qualified Speech Language Pathologist 6305118100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146.012303ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Care LTD Speech-Language Pathologist CurrentSince Jul 17, 2017 Accepting new patients

Locations

1001 E Wilson St
Ste 100
Batavia, IL 60510
Phone (630) 761-0900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346672524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38W930 MCNAIR DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601346176",
            "telephone_number": "630-404-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E WILSON ST STE 100",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103157",
            "telephone_number": "630-761-0900",
            "fax_number": "630-761-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUGALLA",
        "first_name": "EDWARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "M.H.S., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.012303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.