Johana Machuca

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242007429 Issued in IL

Practice address

5758 S Maryland Ave
Chicago, IL 60637-1426

Phone

(312) 450-9308

NPI assigned

Aug 3, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Diverse Foresight, Inc.

  dba Ms. Paula, SLP

  • Speech-Language Pathologist
  • Wilmette, IL
  • NPI 1639786429
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1770265241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 W BARRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606415048",
            "telephone_number": "312-450-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371426",
            "telephone_number": "312-450-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1936 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600911465",
            "country_code": "US",
            "telephone_number": "312-450-9308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHUCA",
        "first_name": "JOHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242007429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danuta Machaj, PTA
• Duane E Machaj, R.PH.
• Holly Machamer, MA CCC-SLP
• Jasmine Machhi
• Rushad Machhi
• Kerri Zimmerman Machut, MD
• Carmen Patricia Macias Huerta, M.D.
• Jennifer Macias, LMFT
• Jessica Macias, LCPC
• Lisa Macias, MSW, LSW

• 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 Aug 29, 2023; 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.