Organization Active NPI

Soy Bilingual Speech Therapy, LLC

  • Speech-Language Pathologist
  • Berwyn, IL
National Provider Identifier
1710557582
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Jennifer Favela, MS, CCC-SLPNPI 1144869876
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address jfavela@soybilingual.com

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.