PEDIASOURCE THERAPY SPECIALISTS
NPI 1891909594
Speech-Language Pathologist in Chicago, IL

Active since May 10, 2007
2530 N LINCOLN AVE STE 114, CHICAGO, IL 60614(773) 988-9905(773) 404-1774 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pediasource Therapy Specialists NPPES

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

PEDIASOURCE THERAPY SPECIALISTS (NPI 1891909594) is a healthcare organization registered as a speech-language pathologist in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Hema Raj Trukenbrod, President, as its authorized official.

NPPES Registry Identity

NPI1891909594
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NamePEDIASOURCE THERAPY SPECIALISTS
Location Address2530 N LINCOLN AVE STE 114Chicago, IL 60614-2479
Mailing Address1872 N Clybourn Ave Apt 111Chicago, IL 60614-4916 · (773) 988-9905 · Fax (773) 404-1774
Fax(773) 404-1774
Organization SubpartNo
Authorized OfficialHema Raj TrukenbrodPresident · (773) 988-9905
Enumeration DateMay 10, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1891909594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X

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 Pediasource Therapy Specialists's NPI number?

The NPI number for Pediasource Therapy Specialists is 1891909594. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Pediasource Therapy Specialists located?

Pediasource Therapy Specialists is located at 2530 N Lincoln Ave Ste 114, Chicago, IL 60614. The listed phone number is (773) 988-9905.

What is Pediasource Therapy Specialists'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 Pediasource Therapy Specialists was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.