Mary Savannah Sunvold Shields, M.S. CCC-SLP, CLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.015471 Issued in IL

Practice address

830 S Addison Ave
Villa Park, IL 60181-2877

Phone

(224) 990-0920

NPI assigned

May 30, 2019

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

Other identifiers 3

Other names 1

• Mary Savannah Sunvold Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• 606 Speech, LLC

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1538420484
  NPD (past)
• Easter Seals Dupage and the Fox Valley Region

  • Physical Therapist
  • Villa Park, IL
  • NPI 1194122739

  Speech-Language Pathologist

  NPD (past)
• Easter Seals Dupage and the Fox Valley Region

  • Physical Therapist
  • Villa Park, IL
  • NPI 1568460681

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1346808912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S ADDISON AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812877",
            "telephone_number": "224-990-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S ADDISON AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812877",
            "telephone_number": "224-990-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MARY SAVANNAH",
        "middle_name": "SUNVOLD",
        "credential": "M.S. CCC-SLP, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.015471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14315119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EI",
            "identifier": "MS06130619P",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "146.015471",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SUNVOLD",
            "middle_name": "SAVANNAH",
            "credential": "M.S. CCC-SLP, CLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lizbeth Serna
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• Muhammad M. Sharif, M.D.
• Katelynn M Shay, DPT
• Nicole Shepherd
• Skyline MBC Inc
• Slide Transportation
• Johanna Suzanne Smith, RN
• Aimee Solo, PHARMD
• Daniel Joseph Soucie

• Speech-Language Pathologist in Villa Park, IL
• Providers in Villa Park, 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 Sep 5, 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.