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Deactivated NPI 1528596640 Deactivated / Inactive NPI Female Practitioner

Cindy Carroll Shanahan , MS, CCC-SLP

Speech-Language Pathologist • Addison, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cindy Shanahan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2017
NPI Deactivation Date July 09, 2019
Total Practice Duration ~2 Years of Practice (2017 – 2019)

Professional Overview & Biography Verified Profile Summary

Cindy Shanahan, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Addison, IL. Throughout an active medical career spanning 2 years, Cindy Shanahan provided care at the practice location at 2171 W EXECUTIVE DR STE 500 until profile deactivation on 2019-07-09.

Practice Location & Contact Primary Location

Practice Address

2171 W Executive Dr Ste 500

Addison, IL 601015626

Telephone 6307660505
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Addison, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Addison, IL (10321 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146-005685

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Kyla Bunch , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003381179

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Erin Dini , SLP

Speech-Language Pathologist

NPI 1033775259

Speech-Language Pathologist

Renee Orvino

Occupational Therapist

NPI 1114322682
Jennifer Alcedo , PT

Physical Therapist

NPI 1114334224

Physical Therapist

Crystal Wright , PTA

Physical Therapist

NPI 1134473358

Physical Therapist Assistant

Elin Kuzmack

Speech-Language Pathologist

NPI 1134770571

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 09, 2019

Record deactivated on July 09, 2019

NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 02, 2017

Registered at 2171 W EXECUTIVE DR STE 500, ADDISON, IL 601015626 (Tel: 6307660505)

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Updated Business Mailing Address June 02, 2017

Registered at 5760 EMERALD POINTE DR., PLAINFIELD, IL 60586 (Tel: 8152124371)

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Provider Name / Credentials Updated June 02, 2017

Recorded as CINDY SHANAHAN, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Speech-Language Pathologist (License #146-005685 in IL)

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Initial NPI Registration & Enumeration June 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528596640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2017
Last Update: June 02, 2017
Deactivation Date: July 09, 2019

Mailing Address

5760 Emerald Pointe Dr.

Plainfield, IL 60586

Phone: 8152124371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.