Active NPI
Katherine Dunne Ronan, CCC-SLP
- Speech-Language Pathologist
- Chicago, IL
National Provider Identifier
1780149617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-004587
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146-004587 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Rehabilitation Association, Inc. | Current | 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.
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1407858483
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.