Active NPI
Adrianna Adamczyk
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1659089019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.007098
- Practice address
- 3707 N Kedzie Ave
Chicago, IL 60618-4503 - Phone
- (773) 377-5492
- NPI assigned
- Nov 14, 2022
- 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 | 242.007098 | IL | Primary |
Addresses
Primary practice location
3707 N Kedzie Ave
Chicago, IL 60618-4503
Mailing address
7231 Wolf Rd Apt B9
Indian Head Park, IL 60525-4928
Phone (708) 745-0894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242.007098 | Other | IL | IDFPR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.007098 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediaprogress, Inc. | Speech-Language Pathologist | 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.
-
dba Pediaprogress
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1740439942
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1659089019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7231 WOLF RD APT B9",
"city": "INDIAN HEAD PARK",
"state": "IL",
"postal_code": "605254928",
"telephone_number": "708-745-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 N KEDZIE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184503",
"telephone_number": "773-377-5492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMCZYK",
"first_name": "ADRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.007098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDFPR",
"identifier": "242.007098",
"state": "IL"
}
],
"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 Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.