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Kelly Adam Canavan , SLPD CCC-SLP

Speech-Language Pathologist β€’ Chicago, IL

Active NPI 1871977660 Individual Practitioner Female Practitioner
Practice location in NPPES

1409 W Carroll Ave
Chicago, IL 606071105

Call 3127330883 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

1409 W Carroll Ave

Chicago, IL 606071105

Telephone 3127330883
Organization at the Same NPPES Address or Phone
Eyas Landing, Inc. Facility NPI 1053621391

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

NPI first issued

2015

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, β€œDoes 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 Chicago and Illinois

1,753 active clinicians are listed under Speech-Language Pathologist with a practice address in Chicago, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.9% of these 1,753 clinicians have the CMS telehealth indicator.

2.8% of these 1,753 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 146.012790

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

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 08, 2020

Recorded as KELLY CANAVAN, SLPD CCC-SLP

πŸ“
Updated Practice Location December 27, 2018

Registered at 1409 W CARROLL AVE, CHICAGO, IL 606071105 (Tel: 3127330883)

πŸ“
Updated Business Mailing Address December 27, 2018

Registered at 1409 W CARROLL AVE, CHICAGO, IL 606071105 (Tel: 3127330883)

βœ…
NPI Profile Active July 12, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 12, 2015

Registered at 1436 W RANDOLPH ST, SUITE 204, CHICAGO, IL 606071405 (Tel: 3127330883)

πŸ“
Business Mailing Address (Initial Record) July 12, 2015

Registered at 1436 W RANDOLPH ST, SUITE 204, CHICAGO, IL 606071405

πŸ‘€
Provider Name / Credentials (Initial Record) July 12, 2015

Recorded as KELLY CANAVAN, MA CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2015

Speech-Language Pathologist (license number reported to NPPES: IL 146.012790)

🟒
Initial NPI Registration & Enumeration July 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871977660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2015
Last Update: June 08, 2020
Sole Proprietor: No

Other Speech-Language Pathologists in Chicago

All Speech-Language Pathologists in Chicago

Mailing Address

1409 W Carroll Ave

Chicago, IL 606071105

Phone: 3127330883

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.