MISS KYLA NIKOL BUNCH M.S., CCC-SLP
NPI 1003381179
Speech-Language Pathologist in Addison, IL

Active since October 04, 2018Accepts Medicare Assignment
2171 W EXECUTIVE DR, ADDISON, IL 60101(630) 766-0505 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Kyla Nikol Bunch M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KYLA NIKOL BUNCH M.S., CCC-SLP (NPI 1003381179) is an individual speech-language pathologist provider in Addison, Illinois, licensed in Illinois (146.013426) and active in the NPI registry since October 2018. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1003381179
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS KYLA NIKOL BUNCHCredential: M.S., CCC-SLP
Location Address2171 W EXECUTIVE DRAddison, IL 60101-5625
Mailing Address1224 W 72nd PlChicago, IL 60636-4124 · (773) 895-5113
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 4, 2018
NPI 1003381179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in IL · 146.013426
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2171 W EXECUTIVE DR, Addison, IL 60101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Kyla Nikol Bunch M.s., Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002319480
PECOS Enrollment IDI20250911003051

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
2171 W EXECUTIVE DR, SUITE 450
ADDISON, IL 60101
Hospice, Inpatient
2171 W EXECUTIVE DR, SUITE 450
ADDISON, IL 60101
Physical Therapist (Orthopedic)
2171 W EXECUTIVE DR, SUITE 450
ADDISON, IL 60101
Physical Therapist
2171 W EXECUTIVE DR, SUITE 450
ADDISON, IL 60101
Physical Therapy Assistant
2171 W EXECUTIVE DR, SUITE 500
ADDISON, IL 60101
Occupational Therapist
2171 W EXECUTIVE DR, SUITE 500
ADDISON, IL 60101
Physical Therapist
2171 W EXECUTIVE DR, SUITE 500
ADDISON, IL 60101
Occupational Therapy Assistant
2171 W EXECUTIVE DR, ST 500
ADDISON, IL 60101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003381179, enumerated as an "individual" on October 04, 2018.

The provider is located at 2171 W EXECUTIVE DR ADDISON, IL 60101 and the phone number is (630) 766-0505.

Speech-Language Pathologist with taxonomy code 235Z00000X.