Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Fogarty

Individual provider Speech-Language Pathologist · NPI 1225789050

Shannon Fogarty is a Qualified Speech Language Pathologist in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Paxxon Healthcare Services LLC, a 153-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2022
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Practice location Address checks out

5516 N Olcott Ave
Chicago, IL 60656-1749
Phone: (773) 339-0183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1225789050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Paxxon Healthcare Services Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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