Andrea Rocha
Individual provider Active NPI Speech-Language Pathologist · Summit, IL
NPI 1104594084 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1104594084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242.006487 (IL)
- Practice address
- 6021 S 74TH Ave
Summit, IL 60501-1500 - Phone
- (708) 458-7260
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.006487 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.006487 | IL | Yes |
Addresses
Primary practice location
6021 S 74TH Ave
Summit, IL 60501-1500
Mailing address
9739 S Utica Ave
Evergreen Park, IL 60805-3150
Other practice location 1
9739 S Utica Ave
Evergreen Park, IL 60805-3150
Phone (773) 512-9225
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- Anthony Rio
- Ankit Kirit Shah
- Dilip Shah
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- Nazeer Shaik
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All providers in Summit, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.