Stacey Villalobos

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146016679 Issued in IL

Practice address

7358 N Lincoln Ave Ste 170
Lincolnwood, IL 60712-1710

Phone

(877) 522-4438

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1508538463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7358 N LINCOLN AVE STE 170",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7358 N LINCOLN AVE STE 170",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121710",
            "telephone_number": "877-522-4438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 S Michigan Ave Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033337",
            "country_code": "US",
            "telephone_number": "312-392-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146016679",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "24200604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "8 S Michigan Ave Ste 2100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606033337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nina J Vargas
• Sajoy Purathumuriyil Varghese, M.D
• Darell Velasco
• Keri Gillmore Vietti, PT, MS
• Village of Lincolnwood
• Gabriella Frances Vinciguerra
• Visionworks Inc
• Emily Jean Vitaioli
• Walgreen Co
• Walgreen Co.

• Speech-Language Pathologist in Lincolnwood, IL
• Providers in Lincolnwood, 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 4, 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.