Individual provider Active NPI

Zachary Richmond, CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1942783675
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146015219 Issued in IL
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

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250317003280 IL Practitioner - Qualified Speech Language Pathologist 1052833233 Reassigns benefits to 1 organization

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
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

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

LicenseStateTypeSpecialty
242004973ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Feb 12, 2025 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Feb 12, 2025 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.

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.

Verify at the official NPI Registry.