Mandy Waddick, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-007740 Issued in IL

Practice address

10611 S Hamlin Ave
Chicago, IL 60655-3810

Phone

(773) 640-4240

NPI assigned

Jun 18, 2007

Last updated

Oct 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mandy Waddick Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anne K. Bludgen Speech Pathologist

  • Early Intervention Provider Agency
  • Midlothian, IL
  • NPI 1962658484
  NPD (past)
• Rehab Advantage, Inc

  • Speech-Language Pathologist
  • Midlothian, IL
  • NPI 1235341926
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1689879819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553810",
            "telephone_number": "773-640-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553810",
            "telephone_number": "773-640-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDICK",
        "first_name": "MANDY",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-007740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "WADDICK",
            "credential": "SLP-CCC/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wadah Atassi MD SC
• Alexis Ann Waddell, MAOL
• Donald Waddell, PHARMD
• Kimberly Waddell, OTR/L
• Torri Waddell
• Shelbie Waddle, DO, MS, MS
• Annelise Nicole Waddoups, MD
• Wade Wellness, Inc.
• Andrew Wade, MB, BCH, BAO
• Arquette C Wade, MMS, PA-C

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, 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 Oct 22, 2025; 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.