Riley Grace Connolly
Individual provider Active NPI Speech-Language Pathologist · Dwight, IL
NPI 1356142467 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1356142467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 201 W Williams St
Dwight, IL 60420-1245 - Phone
- (815) 584-6713
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Synergy Care Southeast LLC
Practice addresses (Care Compare)
117 N Western Ave
Peoria, IL 61604-5650
Phone (309) 674-2400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604001316 | IL | Practitioner - Qualified Speech Language Pathologist | 3274042999 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
201 W Williams St
Dwight, IL 60420-1245
Mailing address
201 W Williams St
Dwight, IL 60420-1245
Phone (815) 584-6713
Other providers in Dwight, IL
- Marcie R Burton
- Cfac Incorporated
- Champion Fitness, Inc
- Michael Charles Cichon
- Community Medical Center of Dwight PC
- Terah Anne Coughlin
- Jennifer Cracco
- Ryan Crowley
- David J Casper, O.D.
- Dwight Common School Dist 232
All providers in Dwight, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.