Guadalupe Martinez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14395263 Issued in IL

Practice address

17366 W Gages Lake Rd
Gages Lake, IL 60030-1831

Phone

(847) 984-8700

NPI assigned

Mar 28, 2024

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

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1801647771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W MANCHESTER DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904851",
            "telephone_number": "847-924-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17366 W GAGES LAKE RD",
            "city": "GAGES LAKE",
            "state": "IL",
            "postal_code": "600301831",
            "telephone_number": "847-984-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GUADALUPE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14395263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Johansen
• Joslynn Adams Acupuncture
• Johneil Torena Juckett
• Myungjin Kim
• Erin Marie Macdonald, MS, CCC-SLP
• Christina Panzl, CCC-SLP
• Susanna Watts Riley, P.T.
• Rosalinda Ring
• Tracey Sackett
• Alyssa Joanne Schwark, AUD

• Speech-Language Pathologist in Gages Lake, IL
• Providers in Gages Lake, 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 Mar 28, 2024; 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.