Aatifa Ajaz Ahmed, CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Downers Grove, IL
NPI 1770201378 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1770201378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146008191 (IL)
- Practice address
- 3450 Lacey Rd
Downers Grove, IL 60515-5430 - Phone
- (630) 743-4500
- Fax
- (630) 743-4537
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146008191 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146008191 | IL | Yes |
Addresses
Primary practice location
3450 Lacey Rd
Downers Grove, IL 60515-5430
Mailing address
3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone (630) 743-4500
Other providers in Downers Grove, IL
- Affordable Dentures & Implants - Downers Grove, P.C.
- Affordable Dentures & Implants - Illinois, PLLC
- Glenn E. Afryl
- Jalal Agakishi
- Ageless Men'S Health Holdings, LLC
- Zarmeen Ahmed
- Junbum Ahn
- Nicole Ahrens
- Maleeha A Ahsan
- Roopleen Ahuja
All providers in Downers Grove, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.