Active NPI
Zachary Richmond, CCC-SLP
- Speech-Language Pathologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146015219
- Practice address
- 5130 W Jackson Blvd
Chicago, IL 60644-4332 - Phone
- (773) 921-8000
- NPI assigned
- Sep 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242004973 | IL | |
| Speech-Language Pathologist | 235Z00000X | 146015219 | IL | Primary |
Addresses
Primary practice location
5130 W Jackson Blvd
Chicago, IL 60644-4332
Mailing address
2344 W School St Apt 3
Chicago, IL 60618-6355
Phone (815) 641-6268
Other practice location 1
1203 Egyptian Trl
Tuscola, IL 61953-2050
Phone (217) 253-4791
Other practice location 2
418 S Memorial Park Rd
Newman, IL 61942-8062
Phone (217) 837-2421
Other practice location 3
422 E 4th South St
Arcola, IL 61910-2059
Phone (217) 268-3022
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4715 W Irving Park Rd
Clarendale Six Corners
Chicago, IL 60641-3172
Phone (872) 210-0975
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242004973 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 2
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Speech-Language Pathologist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1942783675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2344 W SCHOOL ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186355",
"telephone_number": "815-641-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 W JACKSON BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606444332",
"telephone_number": "773-921-8000"
}
],
"practiceLocations": [
{
"address_1": "1203 Egyptian Trl",
"address_purpose": "LOCATION",
"city": "Tuscola",
"state": "IL",
"postal_code": "619532050",
"country_code": "US",
"telephone_number": "217-253-4791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "418 S Memorial Park Rd",
"address_purpose": "LOCATION",
"city": "Newman",
"state": "IL",
"postal_code": "619428062",
"country_code": "US",
"telephone_number": "217-837-2421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "422 E 4th South St",
"address_purpose": "LOCATION",
"city": "Arcola",
"state": "IL",
"postal_code": "619102059",
"country_code": "US",
"telephone_number": "217-268-3022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHMOND",
"first_name": "ZACHARY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-09",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242004973",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146015219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 3, 2021; 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.