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Cynthia Ann Provost , MHS, CCC, SLP, L

Speech-Language Pathologist • Bradley, IL

Active NPI 1023366036 Individual Practitioner Female Practitioner
Practice location in NPPES

400 S Kennedy Dr, Suite 600
Bradley, IL 609152682

Call 8159357496 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 S Kennedy Dr
Suite 600

Bradley, IL 609152682

Telephone 8159357496
Fax 8159357860
Organization at the Same NPPES Address or Phone
Internal Medicine Associates Of Kankakee, Ltd Facility NPI 1871530436

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bradley and Illinois

8 active clinicians are listed under Speech-Language Pathologist with a practice address in Bradley, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 146.005338

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Tomasz Antkowiak , MD

Orthopaedic Surgery

NPI 1881851210

Doctor of Medicine (M.D.)

Carolyn Beery , OTR, L

Occupational Therapist

NPI 1588845747

Occupational Therapist Registered, L

Christine Cantrell

Occupational Therapist

NPI 1851777056
Dr. Wesley Choy , MD

Orthopaedic Surgery

NPI 1659389450

Doctor of Medicine (M.D.)

Kristin Fields , PA-C

Physician Assistant - Surgical

NPI 1184714198

Physician Assistant (Certified)

Dr. Timothy Friedrich , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1649434036

Doctor of Podiatric Medicine

Career & Practice History

NPI enumerated August 22, 2012.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1023366036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2012
Last Update: August 22, 2012
Sole Proprietor: No

Mailing Address

6345 E 2000n Rd

Kankakee, IL 609017504

Phone: 8159399853

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.