Individual provider Active NPI

Katerina Skiba, CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1538049960
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146012030 Issued in IL
Practice address
1922 W Sunnyside Ave
Chicago, IL 60640-7128
Phone
(773) 396-2442
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 146012030 IL Primary

Addresses

Primary practice location

1922 W Sunnyside Ave
Chicago, IL 60640-7128

Mailing address

5415 N Sheridan Rd Apt 5405
Chicago, IL 60640-7415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930003778 IL Practitioner - Qualified Speech Language Pathologist 8426554346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rex Therapeutics, LLCGroup PAC ID 7315342219, 21 clinicians

Practice addresses (Care Compare)

1922 W Sunnyside Ave
Chicago, IL 60640-0205
Phone (312) 709-7209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146012030ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Therapeutics, LLC Speech-Language Pathologist CurrentSince Sep 1, 2025 Accepting new patients

Locations

1390 S Crescent St
Gilman, IL 60938
Phone (414) 721-8669

7836 Frontage Rd
Skokie, IL 60077
Phone (414) 721-8669

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1538049960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 N SHERIDAN RD APT 5405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 W SUNNYSIDE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407128",
            "telephone_number": "773-396-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBA",
        "first_name": "KATERINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.