Jennifer Favela, MS, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3632 S 57TH Ave
Cicero, IL 60804-4314

Phone

(773) 593-0370

NPI assigned

Dec 28, 2019

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soy Bilingual Speech Therapy, LLC

  • Speech-Language Pathologist
  • Berwyn, IL
  • NPI 1710557582

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577491200000",
    "number": "1144869876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 S 57TH AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 S 57TH AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044314",
            "telephone_number": "773-593-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVELA",
        "first_name": "JENNIFER",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jean Espinoza, M.S.W.
• Family Service & Mental Health Service of Cicero
• Family Service & MHC of Cicero at Cicero Health Dept
• Family Service and Mental Health Center of Cicero
• Familymed Centers PC
• Stephanie Feliciano, LCSW
• Gabriel Michael Felix Lara, BEHAVIOR ANALYST
• Edalia Fernandez
• Regina Marie Ferrera, MSW LCSW
• Gloria Ines Figuera Inaga, D.D.S.

• Speech-Language Pathologist in Cicero, IL
• Providers in Cicero, 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 Dec 28, 2019; 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.