Active NPI
Anjali Mutholam, M.S., CF-SLP
- Speech-Language Pathologist
- Mokena, IL
National Provider Identifier
1316857162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.018836
- Practice address
- 19162 88TH Ave
Mokena, IL 60448-8135 - Phone
- (815) 464-6069
- NPI assigned
- Sep 11, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.018836 | IL | Primary |
Addresses
Primary practice location
19162 88TH Ave
Mokena, IL 60448-8135
Mailing address
17128 Kropp CT
Orland Park, IL 60467-6001
Phone (815) 464-6069
Other practice location 1
1300 190th St
Homewood, IL 60430-4216
Phone (708) 798-3424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1316857162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17128 KROPP CT",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604676001",
"telephone_number": "815-464-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19162 88TH AVE",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488135",
"telephone_number": "815-464-6069"
}
],
"practiceLocations": [
{
"address_1": "1300 190th St",
"address_purpose": "LOCATION",
"city": "Homewood",
"state": "IL",
"postal_code": "604304216",
"country_code": "US",
"telephone_number": "708-798-3424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUTHOLAM",
"first_name": "ANJALI",
"credential": "M.S., CF-SLP",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.018836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.