Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285420323 Individual Practitioner Female Practitioner

Carolyn Russell

Speech-Language Pathologist • Northbrook, IL

Professional Overview & Biography Verified Profile Summary

Carolyn Russell is a registered healthcare professional specializing in Speech-Language Pathologist in Northbrook, IL. Practice services are available at 85 REVERE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

85 Revere Dr

Northbrook, IL 600628001

Telephone 7734909521
Associated Practice Facility / Clinic
🏢 Autism Home Support Services Facility NPI 1356739478

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Northbrook, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
78 Specialists

Practicing in Northbrook, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-04-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 14516164

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.

Secondary Practice Locations

3201 Old Glenview Rd

Wilmette, IL 600912999

Phone: 7734909521

Practice Associates & Co-Workers

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

18 Associated Practitioners
Adriana Schmidt

Behavior Analyst

NPI 1023499787
Young Mitrisin

Behavior Technician

NPI 1023633161
NPI 1124410824

Master of Education, Board Certified Behavior Analyst

Shannon Tait , MS

Behavior Analyst

NPI 1225583545

Master of Science

Dakota Palmero

Behavior Technician

NPI 1225660020
Trista Kotek , MS, BCBA

Behavior Analyst

NPI 1285049429

Master of Science, Board Certified Behavior Analyst

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 16, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2025

Registered at 85 REVERE DR, NORTHBROOK, IL 600628001 (Tel: 7734909521)

📍
Updated Business Mailing Address April 16, 2025

Registered at 3201 OLD GLENVIEW RD, WILMETTE, IL 600912999 (Tel: 7734909521)

👤
Provider Name / Credentials Updated April 16, 2025

Recorded as CAROLYN RUSSELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2025

Speech-Language Pathologist (License #14516164 in IL)

🟢
Initial NPI Registration & Enumeration April 16, 2025

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: 1285420323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2025
Last Update: April 16, 2025
Sole Proprietor: No

Mailing Address

3201 Old Glenview Rd

Wilmette, IL 600912999

Phone: 7734909521

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.