Jennifer Prim, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3075 Wolf Rd
Westchester, IL 60154-5622

Phone

(630) 975-8173

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impulse Rehab and Wellness PLLCGroup PAC ID 4688905995, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Impulse Rehab and Wellness, PLLC

  • Physical Therapist
  • Westchester, IL
  • NPI 1215598941
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1356783492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 HOWARD AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581652",
            "telephone_number": "630-975-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 WOLF RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545622",
            "telephone_number": "630-975-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIM",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Clell Prendergast, LCPC
• Presence Behavioral Health (ProCare Centers)
• Presence Behavioral Health (ProCare Centers)
• Presence Behavioral Health (ProCare Centers)
• Presence Behavioral Health
• Jeremy K Prisby, DPT
• Pro Care
• Louis E. Probst, M.D.
• Colleen Prouza
• Proviso TWP SCH Treas Office

• Speech-Language Pathologist in Westchester, IL
• Providers in Westchester, 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 Jan 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.