Nancy Pudrycki, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005709 Issued in IL

Practice address

1100 Pembridge Dr
Lake Forest, IL 60045-4228

Phone

(847) 604-6700

NPI assigned

May 29, 2015

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

Credentials

Master of Science

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.

• Speech Therapy United LLC

  • Speech-Language Pathologist
  • Wilmette, IL
  • NPI 1679125025
  NPD Authorized official

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1831578335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 RIVERSIDE DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911061",
            "telephone_number": "847-251-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PEMBRIDGE DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600454228",
            "telephone_number": "847-604-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDRYCKI",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presbyterian Homes
• Adam E Prescott, MD
• Michael Lee Primack, D.D.S.
• Bernard B Pritzker, M.D.
• Amalia Maria Prodanovic
• Clare Driggs Purcell, MD
• Joseph Matthew Purpura, M.D.
• Linda Qatanani
• Moqing Quan, PA-C
• Carly Quick, LCSW

• Speech-Language Pathologist in Lake Forest, IL
• Providers in Lake Forest, 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 May 29, 2015; 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.