Pediatric TherapyFinder

Pediatric Fundamentals,llc

Speech therapy practice in Custer Park, IL

NPI activeLicense # listed (IL)

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Public-record details

Address
36963 Irish Ln, Custer Park, IL 60481
Phone
(815) 931-8595
Listed under
Speech therapy practices, Children's clinics (by name)
NPI
1396155156
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Speech-Language Pathologist (235Z00000X)
License number on NPI record
146006731 (IL)
Authorized official
Shauna Ruzich, MS, CCC-SLP, Owner/manager
NPI first issued
May 2, 2014
NPI record last updated
May 2, 2014

NPI 1396155156 is active in the federal NPPES registry (CMS); license 146006731 (IL) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Speech-language pathologists (SLPs) evaluate and treat speech sounds, language, stuttering, voice, and feeding and swallowing. Ask whether the clinic treats children and which ages.

View NPI 1396155156 in the official registry ↗

Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.