Individual provider Active NPI

Katherine Dunne Ronan, CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1780149617
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146-004587 Issued in IL
Practice address
2219 W Eastwood Ave FL 1
Chicago, IL 60625-2016
Phone
(773) 968-8657
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 146-004587 IL Primary

Addresses

Primary practice location

2219 W Eastwood Ave FL 1
Chicago, IL 60625-2016

Mailing address

2219 W Eastwood Ave FL 1
Chicago, IL 60625-2016
Phone (773) 968-8657

Other names 1

  • Katherine M Dunne Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016001861 IL Practitioner - Qualified Speech Language Pathologist 4385975762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Rehabilitation Association, Inc.Group PAC ID 4789672924, 5 clinicians

Practice addresses (Care Compare)

5820 W Irving Park Rd
Chicago, IL 60634-2616
Phone (773) 685-8482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146-004587ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Rehabilitation Association, Inc. CurrentSince Aug 17, 2019 Accepting new patients

Locations

5820 W Irving Park Rd
Chicago, IL 60634
Phone (773) 685-8482

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1780149617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 W EASTWOOD AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252016",
            "telephone_number": "773-968-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 W EASTWOOD AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252016",
            "telephone_number": "773-968-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAN",
        "first_name": "KATHERINE",
        "middle_name": "DUNNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-004587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DUNNE",
            "middle_name": "M",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Feb 5, 2019; 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.