Healthcare Provider Details

I. General information

NPI: 1992301865
Provider Name (Legal Business Name): CHAT WITH ME SPEECH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1795 W STATE ST STE C
GENEVA IL
60134-4709
US

IV. Provider business mailing address

1795 W STATE ST STE C
GENEVA IL
60134-4709
US

V. Phone/Fax

Practice location:
  • Phone: 708-473-6120
  • Fax:
Mailing address:
  • Phone: 708-473-6120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: JESSICA M GROENENDYK
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: CCC-SLP, CLC
Phone: 708-473-6120