Alyvia Kathryn Susan Provost, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.018722 Issued in IL

Practice address

7N330 Medinah Rd
Medinah, IL 60157-9672

Phone

(630) 529-6105

NPI assigned

Aug 26, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1518874288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E GRANVILLE AVE",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721406",
            "telephone_number": "630-893-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7N330 MEDINAH RD",
            "city": "MEDINAH",
            "state": "IL",
            "postal_code": "601579672",
            "telephone_number": "630-529-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22W300 Sunnyside Rd",
            "address_purpose": "LOCATION",
            "city": "Medinah",
            "state": "IL",
            "postal_code": "601579720",
            "country_code": "US",
            "telephone_number": "630-529-9788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Granville Ave",
            "address_purpose": "LOCATION",
            "city": "Roselle",
            "state": "IL",
            "postal_code": "601721499",
            "country_code": "US",
            "telephone_number": "630-893-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "ALYVIA",
        "middle_name": "KATHRYN SUSAN",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.018722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Medinah, IL
• Providers in Medinah, 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 Aug 26, 2026; 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.