IndividualActive
William Waller, CCC-SLP
NPI 1386949816 · Speech-Language Pathologist · Chicago, IL
Provider details
- NPI number
- 1386949816
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Male
- Sole proprietor
- No
- License
- 146.009329 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
675 N Saint Clair St
Suite 15-200
Chicago, IL 60611-5975
Phone: (312) 695-9797
Street-level locationGet directions
Mailing address
680 N Lake Shore Dr
Chicago, IL 60611-4546
Registry dates
- Enumerated
- 2011-01-13
- Last updated
- 2017-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.