Individual provider Active NPI

Genie Cynthia Guerra

  • Speech-Language Pathologist
  • Hanover Park, IL
National Provider Identifier
1902628688
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.017922 Issued in IL
Practice address
2247 Camden LN
Hanover Park, IL 60133-2915
Phone
(708) 829-3246
NPI assigned
Oct 24, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 146.017922 IL Primary

Addresses

Primary practice location

2247 Camden LN
Hanover Park, IL 60133-2915

Mailing address

2247 Camden LN
Hanover Park, IL 60133-2915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112000644 IL Practitioner - Qualified Speech Language Pathologist 8628502861 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
At Home by Enhance Therapies LLCGroup PAC ID 4183033210, 44 clinicians
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1190 Old McHenry Rd
Long Grove, IL 60047-5088
Phone (224) 576-2183

1865 E Belvidere Rd
Grayslake, IL 60030-2290
Phone (847) 986-4633

210 Airport Rd
North Aurora, IL 60542-1700
Phone (732) 994-3200

2450 W Fabyan Pkwy
Batavia, IL 60510-1576
Phone (847) 532-3492

407 W 63Rd St
Sunrise of Westmont
Westmont, IL 60559-2910
Phone (331) 224-0769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146.017922ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Speech-Language Pathologist CurrentSince Aug 1, 2025 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Nov 1, 2024 Accepting new patients
Oasis Therapy Services LLC Speech-Language Pathologist CurrentSince Jul 1, 2025 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Nov 1, 2024 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Oct 13, 2024 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince Oct 13, 2024 Accepting new patients

Locations

1035 S Sutton Rd
Bartlett, IL 60103
Phone (331) 320-0004

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750

8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 8

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": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1902628688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 CAMDEN LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 CAMDEN LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332915",
            "telephone_number": "708-829-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "GENIE",
        "middle_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.