Active NPI
Emanuele Fernando
- Speech-Language Pathologist
- Arlington Heights, IL
National Provider Identifier
1619860830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146018358
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Maxx LLC | Speech-Language Pathologist | Current | 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.