Active NPI
Kimberly Grunde
- Speech-Language Pathologist
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.014282
- Practice address
- 5 Revere Dr Ste 200
Northbrook, IL 60062-8000 - Phone
- (512) 377-6318
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 146.014282 | IL | Primary |
Addresses
Primary practice location
5 Revere Dr Ste 200
Northbrook, IL 60062-8000
Mailing address
5 Revere Dr Ste 200
Northbrook, IL 60062-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.014282 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
5 Revere Dr
#One
Northbrook, IL 60062
5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206
2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1932831146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 REVERE DR STE 200",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600628000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 REVERE DR STE 200",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600628000",
"telephone_number": "512-377-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDE",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.014282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.