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AMY BETH GOSTOMELSKY CCC-SLP
NPI 1760010896
Speech-Language Pathologist in Park Ridge, IL

Active since April 01, 2020
1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068(847) 318-9330 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2024, Apr 1, 2020 (2 updates tracked since 2020).

About Amy Beth Gostomelsky Ccc-slp NPPES

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

AMY BETH GOSTOMELSKY CCC-SLP (NPI 1760010896) is an individual speech-language pathologist provider in Park Ridge, Illinois, licensed in Illinois (146015253) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1760010896
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMY BETH GOSTOMELSKYCredential: CCC-SLP
Location Address1675 DEMPSTER ST FL 3Park Ridge, IL 60068-1110
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(847) 318-9330
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1760010896 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 · 146015253
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.
1675 DEMPSTER ST FL 3, Park Ridge, IL 60068
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Beth Gostomelsky Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Lutheran General Hospital
0.1 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

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 20

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

MELISSA LIEBERMAN
Physician Assistant (Surgical)
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330
KAREN WOJCIK NP
Nurse Practitioner
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 723-9052
DR. SHAWN ASHLEY KACKER DO
Psychiatry & Neurology (Neurology)
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330
LINDA MARIE WOLFE-STINE OTR L
Occupational Therapist
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (708) 358-1680
MS. MARY COLLEEN BURKE M.S.CCCSLP
Speech-Language Pathologist
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330
DR. MICHAEL WHITE MD
Pediatrics (Pediatric Cardiology)
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (708) 684-5580
DR. AMANDA MUHS SARATSIS MD
Neurological Surgery
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 723-9052
DR. REBECCA HANNAH SPASARI MD
Pediatrics
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330

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 Amy Gostomelsky's NPI number?

The NPI number for Amy Gostomelsky is 1760010896. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Amy Gostomelsky located?

Amy Gostomelsky practices at 1675 Dempster St Fl 3, Park Ridge, IL 60068. The listed phone number is (847) 318-9330.

What is Amy Gostomelsky's specialty?

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

Is Amy Gostomelsky enrolled in Medicare?

Yes. Amy Gostomelsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Gostomelsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gostomelsky reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, 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 Amy Gostomelsky'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 Amy Gostomelsky was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.