Maya Patel, M.S., CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Fox River Grove, IL

NPI 1912835570 · NPPES record last updated May 12, 2026

Key facts

NPI
1912835570
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242.018573 (IL)
Practice address
930 Il Route 22
Fox River Grove, IL 60021-1905
Phone
(224) 219-1924
Fax
(224) 526-5156
NPI assigned
May 12, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242.018573ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 242.018573 IL Yes

Addresses

Primary practice location

930 Il Route 22
Fox River Grove, IL 60021-1905

Mailing address

4N612 Campton Crossings Dr
St Charles, IL 60175-6543

Other providers in Fox River Grove, IL

All providers in Fox River Grove, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.