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VICTORIA GRUDZIEN
NPI 1720896152
Speech-Language Pathologist in Crystal Lake, IL

Active since December 18, 2024Accepts Medicare Assignment
1 VIRGINIA RD, CRYSTAL LAKE, IL 60014(815) 455-8500 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2026, Dec 18, 2024 (2 updates tracked since 2024).

About Victoria Grudzien NPPES

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

VICTORIA GRUDZIEN (NPI 1720896152) is an individual speech-language pathologist provider in Crystal Lake, Illinois, licensed in Illinois (242.008088) and active in the NPI registry since December 2024. She maintains a secondary practice location in Cary and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720896152
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameVICTORIA GRUDZIEN
Location Address1 VIRGINIA RDCrystal Lake, IL 60014-7901
Mailing Address1016 S Fox Trails DrCary, IL 60013-2464
Phone(815) 455-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 18, 2024
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1720896152 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 · 242.008088
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.
1 VIRGINIA RD, Crystal Lake, IL 60014
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Other Names 1

Professional Name (2)Victoria Petersdorff

Secondary Practice Location 1

Location 11055 Silver Lake RdCary, IL 60013-3432 · Phone (847) 450-0637

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria Grudzien 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 ID1951839042
PECOS Enrollment IDI20250117000814

Medicare Billing Reassignment

Medicare enrollment records show Victoria Grudzien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Healthcare Services Inc
18 mi
Physical Therapist
1865 E BELVIDERE RD
Grayslake, IL 60030
  • Reassigned Medicare billing, Illinois enrollment
  • 123 clinicians in this Medicare group
NPI 1689141376 (919) 424-4312

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

COMMUNITY HIGH SCHOOL DIST 15
Local Education Agency (LEA)
1 VIRGINIA RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-8500

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 Victoria Grudzien's NPI number?

The NPI number for Victoria Grudzien is 1720896152. It was assigned to this individual provider in the NPPES registry on December 18, 2024. The provider is also known as Victoria Petersdorff.

Where is Victoria Grudzien located?

Victoria Grudzien practices at 1 Virginia Rd, Crystal Lake, IL 60014. The listed phone number is (815) 455-8500.

What is Victoria Grudzien's specialty?

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

Is Victoria Grudzien enrolled in Medicare?

Yes. Victoria Grudzien is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Victoria Grudzien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Grudzien reassigns Medicare benefits to Legacy Healthcare Services Inc (Grayslake, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victoria Grudzien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Grudzien was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.