Individual provider · Type 1 NPI

Peyton Street

Speech-Language Pathologist · Chicago, IL

NPI number 1336039502 Active

Practice location

11053 S Millard Ave
Chicago, IL 60655-3327

Mailing address

3018 N Racine Ave
Chicago, IL 60657-9401

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X146.018914 (IL)

Speech-Language Pathologist: 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, resonan…

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About NPI 1336039502

Peyton Street's National Provider Identifier is 1336039502, issued on Jul 8, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 24, 2026.