MEDICARE: CHAT WITH ME SPEECH THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174N00000X	Lactation Consultant (Non-RN)
2	225XP0200X	Pediatric Occupational Therapist
3	225100000X	Physical Therapist
4	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1992301865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAT WITH ME SPEECH THERAPY, LLC

Provider Business Mailing Address
First Line	:	1795 W STATE ST STE C
Second Line	:
City	:	GENEVA
State	:	IL
Zip	:	60134-4709
Country	:	US
Telephone Number	:	708-473-6120
Fax Number	:

Provider Business Practice Location Address
First Line	:	1795 W STATE ST STE C
Second Line	:
City	:	GENEVA
State	:	IL
Zip	:	60134-4709
Country	:	US
Telephone Number	:	708-473-6120
Fax Number	:

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

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	02/26/2026

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