Individual provider Active NPI

Jenna Szybowicz, MS, SLP

  • Speech-Language Pathologist
  • Hoffman Estates, IL
National Provider Identifier
1770838450
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146011236 Issued in IL
Practice address
1555 Barrington Rd BLDG 1
Hoffman Estates, IL 60169-1020
Phone
(224) 299-4222
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 146011236 IL Primary

Addresses

Primary practice location

1555 Barrington Rd BLDG 1
Hoffman Estates, IL 60169-1020

Mailing address

1555 Barrington Rd BLDG 1
Hoffman Estates, IL 60169-1020
Phone (224) 299-4222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003495 IL Practitioner - Qualified Speech Language Pathologist 2567806094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146011236ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC CurrentSince Feb 19, 2024 Accepting new patients

Locations

1555 N Barrington Rd
Bldg 1
Hoffman Estates, IL 60169
Phone (224) 299-4222

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1770838450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD BLDG 1",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691020",
            "telephone_number": "224-299-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD BLDG 1",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691020",
            "telephone_number": "224-299-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYBOWICZ",
        "first_name": "JENNA",
        "credential": "MS, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.