Brenda Ann Zuccollo, CCC SLP L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

602 N Fifth Avenue
Kankakee, IL 60901

Phone

(815) 936-6266

Fax

(815) 936-7606

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BZ Kids Incorporated

  • Rehabilitation Clinic/Center
  • Kankakee, IL
  • NPI 1942425830
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790839249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 REVERE STREET",
            "city": "BOURBONNAS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-928-9012",
            "fax_number": "815-936-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N FIFTH AVENUE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "60901",
            "telephone_number": "815-936-6266",
            "fax_number": "815-936-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCCOLLO",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CCC SLP L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy George Yovankin, MD
• Zaheer Pediatric Associates, SC
• Saadia A Zaheer, MD
• Alex John Zappavigna, DPT
• Cindy Zeglis, PSYD
• Alketa Zyka, DO

• Speech-Language Pathologist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.