Individual provider Active NPI

Elizabeth Grubich

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1396360418
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146007419 Issued in IL
Practice address
25W374 Mayflower Ave
Naperville, IL 60540-3513
Phone
(630) 254-4081
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 146007419 IL Primary

Addresses

Primary practice location

25W374 Mayflower Ave
Naperville, IL 60540-3513

Mailing address

25W374 Mayflower Ave
Naperville, IL 60540-3513
Phone (630) 254-4081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200706000372 IL Practitioner - Qualified Speech Language Pathologist 8729401039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881

7 Clyde Rd
Somerset, NJ 08873-5049

7262 W Peterson Ave
Chicago, IL 60631-3626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince May 17, 2020 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince May 17, 2020 Accepting new patients
Fox Rehabilitation Services Il LLC Speech-Language Pathologist CurrentSince May 1, 2022 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1396360418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25W374 MAYFLOWER AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403513",
            "telephone_number": "630-254-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25W374 MAYFLOWER AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403513",
            "telephone_number": "630-254-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBICH",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.