Blanca Antonia Arenas, SLP

Individual provider Active NPI Speech-Language Pathologist · Brookfield, IL

NPI 1992901284 · NPPES record last updated Jan 13, 2021

Key facts

NPI
1992901284
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146.009196 (IL)
Practice address
8906 Ogden Ave
Brookfield, IL 60513-2006
Phone
(708) 602-1129
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
146.009196ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soles Therapy Services Corp Speech-Language Pathologist Past
since Jan 17, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.009196 IL Yes
Developmental Therapist 222Q00000X

Addresses

Primary practice location

8906 Ogden Ave
Brookfield, IL 60513-2006

Mailing address

713 N Adele St
Elmhurst, IL 60126-1701
Phone (708) 602-1129

Other providers in Brookfield, IL

All providers in Brookfield, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.