Active NPI
Guadalupe Avila, M.S. CCC-SLP
- Speech-Language Pathologist
- West Chicago, IL
National Provider Identifier
1801470349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.015745
- Practice address
- 300 E Forest Ave
West Chicago, IL 60185-3528 - Phone
- (630) 293-6000
- Fax
- (630) 596-2924
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.015745 | IL | Primary |
Addresses
Primary practice location
300 E Forest Ave
West Chicago, IL 60185-3528
Mailing address
30W320 Pomeroy St
West Chicago, IL 60185-3280
Phone (708) 897-7599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.015745 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1801470349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30W320 POMEROY ST",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601853280",
"telephone_number": "708-897-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E FOREST AVE",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601853528",
"telephone_number": "630-293-6000",
"fax_number": "630-596-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "GUADALUPE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.015745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.