Individual provider Active NPI

Claudette L Sanchez, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Oak Park, IL
National Provider Identifier
1871701714
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006271 Issued in IL
Practice address
1153 Gunderson Ave
Oak Park, IL 60304-2150
Phone
(773) 551-0004
Fax
(773) 305-8081
NPI assigned
May 21, 2007
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 146006271 IL Primary

Addresses

Primary practice location

1153 Gunderson Ave
Oak Park, IL 60304-2150

Mailing address

1153 Gunderson Ave
Oak Park, IL 60304-2150
Phone (773) 551-0004

Other names 1

  • Claudette Sanchez Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
146006271ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Grow, Inc. Speech-Language Pathologist CurrentSince Jun 30, 2024 Accepting new patients
Kids on the Grow Speech-Language Pathologist CurrentSince Jul 1, 2022 Accepting new patients
Bravo Pediatric Therapies Speech-Language Pathologist CurrentSince Dec 22, 2024 Accepting new patients

Locations

2157 N Damen Ave
Chicago, IL 60647
Phone (772) 278-4769

2157 N Damen Ave
Ste 2C
Chicago, IL 60647
Phone (773) 278-4769

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1871701714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 GUNDERSON AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042150",
            "telephone_number": "773-551-0004",
            "fax_number": "773-305-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 GUNDERSON AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042150",
            "telephone_number": "773-551-0004",
            "fax_number": "773-305-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CLAUDETTE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDETTE",
            "last_name": "SANCHEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.