Gissel Noemi Pena

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.007852 Issued in IL

Practice address

6101 W 82ND PL
Burbank, IL 60459-1835

Phone

(773) 415-6519

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1114764297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W 82ND PL",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591835",
            "telephone_number": "773-415-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W 82ND PL",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591835",
            "telephone_number": "773-415-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "GISSEL",
        "middle_name": "NOEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.007852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sailokesh Pagadala, DO
• Monica Renee Para, MD
• Agata Parfieniuk, MD
• Rhea M Patel, DO
• Saundra Pegues
• Ricardo Perales, ATC
• Julia Piech
• Sheena L Pierce, NP
• Gopal K. Popli, M.D.
• Neenu Prasad, M.D.

• Speech-Language Pathologist in Burbank, IL
• Providers in Burbank, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.