Organization Active NPI

Lotus Speech Academy

  • Speech-Language Pathologist
  • Park Ridge, IL
National Provider Identifier
1629664628
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LOTUS SPEECH ACADEMY
Practice address
1580 N Northwest Hwy Ste 305a
Park Ridge, IL 60068-1469
Phone
(312) 401-2065
Fax
(312) 312-9598
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Agata Kuczynska, M.A. CCC-SLP/LNPI 1992168967
Title
Owner
Phone
(312) 401-2065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1580 N Northwest Hwy Ste 305a
Park Ridge, IL 60068-1469

Mailing address

7764 N Nora Ave
Niles, IL 60714-4740
Phone (312) 401-2065

National Provider Directory

National Provider Directory

Locations

1580 N Northwest Hwy
Ste 305A
Park Ridge, IL 60068
Phone (224) 636-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762560000000",
    "number": "1629664628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7764 N NORA AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144740",
            "telephone_number": "312-401-2065",
            "fax_number": "312-312-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 305A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681469",
            "telephone_number": "312-401-2065",
            "fax_number": "312-312-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS SPEECH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A",
        "authorized_official_last_name": "KUCZYNSKA",
        "authorized_official_first_name": "AGATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-401-2065",
        "authorized_official_credential": "M.A. CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.