ZACHARY RICHMOND CCC-SLP - NPI 1942783675 - Speech-Language Pathologist in Chicago, IL

Q: What is Zachary Richmond's NPI number?

The NPI number for Zachary Richmond is 1942783675. It was assigned to this individual provider in the NPPES registry on September 9, 2018.

Q: What is Zachary Richmond's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Zachary Richmond was last updated on June 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Zachary Richmond Ccc-slp NPPES

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

ZACHARY RICHMOND CCC-SLP (NPI 1942783675) is an individual speech-language pathologist provider in Chicago, Illinois, licensed in Illinois (146015219) and active in the NPI registry since September 2018. He maintains 3 additional practice locations and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942783675

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameZACHARY RICHMONDCredential: CCC-SLP

Location Address5130 W JACKSON BLVDChicago, IL 60644-4332

Mailing Address2344 W School St Apt 3Chicago, IL 60618-6355 · (815) 641-6268

Phone(773) 921-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 9, 2018

Last NPPES UpdateJune 3, 20212 updates tracked since enumeration

NPPES CertifiedJune 3, 2021

✔ NPI 1942783675 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

Licenses✔ Licensed in IL · 146015219✔ Licensed in IL · 242004973

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.

5130 W JACKSON BLVD, Chicago, IL 60644

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Secondary Practice Locations 3

Location 1418 S Memorial Park RdNewman, IL 61942-8062 · Phone (217) 837-2421

Location 21203 Egyptian TrlTuscola, IL 61953-2050 · Phone (217) 253-4791

Location 3422 E 4th South StArcola, IL 61910-2059 · Phone (217) 268-3022

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

Zachary Richmond 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 ID1052833233

PECOS Enrollment IDI20250317003280

Other Providers at the Same Location NPPES 11

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

JACKSON CORP

Skilled Nursing Facility