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PEDIATRIC FUNDAMENTALS,LLC
NPI 1396155156
Speech-Language Pathologist in Custer Park, IL

Active since May 02, 2014
36963 IRISH LN, CUSTER PARK, IL 60481(815) 931-8595 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Fundamentals,llc NPPES

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

PEDIATRIC FUNDAMENTALS,LLC (NPI 1396155156) is a healthcare organization registered as a speech-language pathologist in Custer Park, Illinois and active in the NPI registry since May 2014. The organization lists Shauna J Ruzich, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1396155156
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NamePEDIATRIC FUNDAMENTALS,LLC
Location Address36963 IRISH LNCuster Park, IL 60481-8420
Mailing Address36963 Irish LnCuster Park, IL 60481-8420
Phone(815) 931-8595
Organization SubpartNo
Authorized OfficialShauna J RuzichOwner/manager · (815) 931-8595
Enumeration DateMay 2, 2014
✔ NPI 1396155156 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 · 146006731
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.
36963 IRISH LN, Custer Park, IL 60481
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Fundamentals,llc's NPI number?

The NPI number for Pediatric Fundamentals,llc is 1396155156. It was assigned to this organization in the NPPES registry on May 2, 2014.

Where is Pediatric Fundamentals,llc located?

Pediatric Fundamentals,llc is located at 36963 Irish Ln, Custer Park, IL 60481. The listed phone number is (815) 931-8595.

What is Pediatric Fundamentals,llc's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Pediatric Fundamentals,llc was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.