Active NPI
Makenna G Clark
- Speech-Language Pathologist
- Plainfield, IL
National Provider Identifier
1003790353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.008487
- Practice address
- 24037 W Oak St
Plainfield, IL 60544-2834 - Phone
- (815) 905-7028
- NPI assigned
- Jul 31, 2025
- Last updated
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.008487 | IL | Primary |
Addresses
Primary practice location
24037 W Oak St
Plainfield, IL 60544-2834
Mailing address
1310 Cassie Dr
Joliet, IL 60435-2966
Phone (815) 355-0395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.008487 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PFG Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
24037 W Oak St
Plainfield, IL 60544
Phone (815) 905-7028
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1003790353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 CASSIE DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604352966",
"telephone_number": "815-355-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24037 W OAK ST",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442834",
"telephone_number": "815-905-7028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MAKENNA",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-31",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.008487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.