Individual provider Active NPI

Stephanie Summy, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Antioch, IL
National Provider Identifier
1700797172
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.018170 Issued in IL
Practice address
24226 W Beach Grove Rd
Antioch, IL 60002-2234
Phone
(847) 395-1105
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 146.018170 IL Primary

Addresses

Primary practice location

24226 W Beach Grove Rd
Antioch, IL 60002-2234

Mailing address

3005 Farmington Dr
Lindenhurst, IL 60046-4964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1700797172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 FARMINGTON DR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24226 W BEACH GROVE RD",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600022234",
            "telephone_number": "847-395-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMY",
        "first_name": "STEPHANIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.018170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.