Sheri Lynn Guajardo, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146006575 Issued in IL

Practice address

212 W Memorial Rd
Bensenville, IL 60106-2692

Phone

(630) 766-2602

NPI assigned

Sep 26, 2017

Last updated

Sep 26, 2017By the provider in NPPES

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

Other names 1

• Miss Sheri Lynn Wagner Former name

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1265941934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 N ORIOLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343247",
            "telephone_number": "773-416-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MEMORIAL RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062692",
            "telephone_number": "630-766-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "SHERI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "WAGNER",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Goodman Training, LLC
• Grand Health, PLLC
• Grand Pharmacy LLC
• Grand Smiles, LLC
• Verona Gregory, OTA
• Naylani Guzman
• Hamdard Health Alliance (Hamdard Health Bensenville)
• Zachary Harvey, DPT
• Healthcare USA Incorporated
• Cylin Hebert, PHARMD

• Speech-Language Pathologist in Bensenville, IL
• Providers in Bensenville, 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 Sep 26, 2017; 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.