Individual provider Active NPI

Emanuele Fernando

  • Speech-Language Pathologist
  • Arlington Heights, IL
National Provider Identifier
1619860830
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146018358 Issued in IL
Practice address
415 W Golf Rd
Arlington Heights, IL 60005-3929
Phone
(847) 258-5420
NPI assigned
May 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146018358 IL Primary

Addresses

Primary practice location

415 W Golf Rd
Arlington Heights, IL 60005-3929

Mailing address

415 W Golf Rd
Arlington Heights, IL 60005-3929
Phone (847) 258-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903003159 IL Practitioner - Qualified Speech Language Pathologist 6901308642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Maxx LLCGroup PAC ID 3072842590, 14 clinicians

Practice addresses (Care Compare)

916 E Northwest Hwy
Palatine, IL 60074-6506
Phone (847) 258-5420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Maxx LLC Speech-Language Pathologist CurrentSince Aug 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 52
Arlington Hts, IL 60005
Phone (847) 258-5420

916 E Northwest Hwy
Palatine, IL 60074
Phone (224) 801-8373

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1619860830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-258-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-258-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "EMANUELE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146018358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.