Active NPI
Soy Bilingual Speech Therapy, LLC
- Speech-Language Pathologist
- Berwyn, IL
National Provider Identifier
1710557582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SOY BILINGUAL SPEECH THERAPY, LLC
- Practice address
- 3245 Grove Ave Ste 203
Berwyn, IL 60402-3475 - Phone
- (708) 813-9062
- NPI assigned
- Jun 25, 2021
- Last updated
- Jun 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Favela, MS, CCC-SLP
- Title
- Owner/SLP
- Phone
- (773) 593-0370
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3245 Grove Ave Ste 203
Berwyn, IL 60402-3475
Mailing address
3632 S 57TH Ave
Cicero, IL 60804-4314
Phone (773) 593-0370
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfavela@soybilingual.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Cicero, IL
- NPI 1144869876
Single Specialty
-
- Speech-Language Pathologist
- Berwyn, IL
- NPI 1457002404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624579200000",
"number": "1710557582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3632 S 57TH AVE",
"city": "CICERO",
"state": "IL",
"postal_code": "608044314",
"telephone_number": "773-593-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 GROVE AVE STE 203",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023475",
"telephone_number": "708-813-9062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOY BILINGUAL SPEECH THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A",
"authorized_official_last_name": "FAVELA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/SLP",
"authorized_official_telephone_number": "773-593-0370",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfavela@soybilingual.com",
"affiliation": "N",
"address_1": "3245 Grove Ave Ste 203",
"city": "Berwyn",
"state": "IL",
"country_code": "US",
"postal_code": "604023475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.