Active NPI
Summer Marcel O'Gradney, MS
- Speech-Language Pathologist
- Niles, IL
National Provider Identifier
1366040255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.005795
- Practice address
- 8901 N Ozanam Ave
Niles, IL 60714-1792 - Phone
- (847) 965-0050
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.005795 | IL | Primary |
Addresses
Primary practice location
8901 N Ozanam Ave
Niles, IL 60714-1792
Mailing address
120 Berry Pkwy
Park Ridge, IL 60068-4211
Phone (847) 826-8008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sogradney@emsd63.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.005795 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Township Special Education Program | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Niles, IL
- NPI 1760608467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1366040255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BERRY PKWY",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684211",
"telephone_number": "847-826-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 N OZANAM AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607141792",
"telephone_number": "847-965-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GRADNEY",
"first_name": "SUMMER",
"middle_name": "MARCEL",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.005795",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sogradney@emsd63.org",
"affiliation": "N",
"endpointDescription": "School Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Gmail",
"address_1": "8901 N Ozanam Ave",
"city": "Niles",
"state": "IL",
"country_code": "US",
"postal_code": "607141792",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.