Individual provider Active NPI

Karla Erika Cortes Garduno, SLP

  • Speech-Language Pathologist
  • Joliet, IL
National Provider Identifier
1831714435
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.005706 Issued in IL
Practice address
742 Essington Rd
Joliet, IL 60435-4912
Phone
(815) 220-5632
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242.005706 IL Primary

Addresses

Primary practice location

742 Essington Rd
Joliet, IL 60435-4912

Mailing address

742 Essington Rd
Joliet, IL 60435-4912
Phone (815) 469-1500

Other practice location 1

16W301 91st St
Burr Ridge, IL 60527-6368
Phone (630) 468-2776

Other practice location 2

16W301 91st St
Burr Ridge, IL 60527-6368
Phone (630) 468-2776

Other practice location 3

742 Essington Rd
Joliet, IL 60435-4912
Phone (815) 220-5632

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

State licenses

LicenseStateTypeSpecialty
242.005706ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1831714435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354912",
            "telephone_number": "815-469-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354912",
            "telephone_number": "815-220-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16W301 91st St",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605276368",
            "country_code": "US",
            "telephone_number": "630-468-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16W301 91st St",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605276368",
            "country_code": "US",
            "telephone_number": "630-468-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 Essington Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604354912",
            "country_code": "US",
            "telephone_number": "815-220-5632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTES GARDUNO",
        "first_name": "KARLA",
        "middle_name": "ERIKA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.005706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.