Active NPI
Agata Kuczynska, M.A
- Speech-Language Pathologist
- Park Ridge, IL
National Provider Identifier
1992168967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.003815
- Practice address
- 1580 N Northwest Hwy Ste 305a
Park Ridge, IL 60068-1469 - Phone
- (312) 401-2065
- Fax
- (312) 312-9598
- NPI assigned
- Mar 29, 2016
- 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 | 242.003815 | IL | Primary |
Addresses
Primary practice location
1580 N Northwest Hwy Ste 305a
Park Ridge, IL 60068-1469
Mailing address
7764 N Nora Ave
Niles, IL 60714-4740
Phone (312) 401-2065
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.003815 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Speech Academy | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1580 N Northwest Hwy
Ste 305A
Park Ridge, IL 60068
Phone (224) 636-1212
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Park Ridge, IL
- NPI 1629664628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1992168967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7764 N NORA AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607144740",
"telephone_number": "312-401-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 N NORTHWEST HWY STE 305A",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681469",
"telephone_number": "312-401-2065",
"fax_number": "312-312-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCZYNSKA",
"first_name": "AGATA",
"credential": "M.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.003815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.