Kayla Marie Campos, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Chicago, IL
NPI 1154733889 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1154733889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242.005490 (IL)
- Practice address
- 3639 N Hoyne Ave
Chicago, IL 60618-4916 - Phone
- (773) 960-6607
- NPI assigned
- May 29, 2014
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.005490 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.005490 | IL | Yes |
Addresses
Primary practice location
3639 N Hoyne Ave
Chicago, IL 60618-4916
Mailing address
1656 N Whipple St
Chicago, IL 60647-5025
Phone (858) 531-9396
Other providers in Chicago, IL
- Brianna Eloise Campos
- Carolina Campos
- Daelynn Campos
- Edith Campos
- Gabriel Campos
- Nancy Campos
- Sylvia Campos
- Tiffany Michelle Campos
- Adelynn Giselle Campoverde
- Catherine Campusano
All providers in Chicago, 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 Feb 22, 2023. 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.