Bravo Pediatric Therapies

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146006271 Issued in IL

Legal business name

BRAVO PEDIATRIC THERAPIES

Practice address

1153 Gunderson Ave
Oak Park, IL 60304-2150

Phone

(773) 551-0004

Fax

(733) 305-8081

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Claudette L Sanchez, SLPNPI 1871701714

Title

President/Speech Language Pathologi

Phone

(773) 551-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claudette L Sanchez, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Oak Park, IL
  • NPI 1871701714
  NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1891868063",
    "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": "733-305-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO PEDIATRIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/SPEECH LANGUAGE PATHOLOGI",
        "authorized_official_telephone_number": "773-551-0004",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01636006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda K Bradford, FNP-C
• Patrick Brady
• Charles Brandon Jr.
• Eileen Marie Brann, M.S., CCC-SLP
• Florence R Braum, L.C.S.W
• Lorena Alexsandra Bravo-Molina, LSW
• Kenneth Leon Bray, MD
• Meghan A Breen, MSW
• Karina Breezer
• Sheila Maureen Brennan-Johnson

• Speech-Language Pathologist in Oak Park, IL
• Providers in Oak Park, 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 Dec 21, 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.