MEDICARE: GENTLE GIANT THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1558292516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE GIANT THERAPY PLLC

Provider Business Mailing Address
First Line	:	3126 W WALTON ST UNIT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1288
Country	:	US
Telephone Number	:	708-369-7169
Fax Number	:

Provider Business Practice Location Address
First Line	:	3126 W WALTON ST UNIT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1288
Country	:	US
Telephone Number	:	708-369-7169
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MAXWEL DOMAN
Credential	:	MS CCC-SLP
Telephone Number	:	708-369-7169

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

Similar Medicare Providers

1376554592 — CITY OF CHICAGO
Practice Location Address:

121 N. LASALLE , ROOM 107A
CHICAGO, IL
60602-1288

Practice Phone: 312-742-7065
Practice Fax: 312-744-4792

1245161801 — KELLY DUNN OTR/L
Practice Location Address:

2233 W DIVISION ST
CHICAGO, IL
60622-8151

Practice Phone: 312-770-2000
Practice Fax:

1841167699 — DR. JOHN HAYES DNP
Practice Location Address:

1127 N OAKLEY BLVD # 5A
CHICAGO, IL
60622-3507

Practice Phone: 312-401-2395
Practice Fax:

1992058333 — OMAR MARWAN HAMOUI MD
Practice Location Address:

2222 W DIVISION ST STE 100
CHICAGO, IL
60622-3093

Practice Phone: 773-326-2244
Practice Fax:

1578842142 — MS. MARTHA CHRISTINE TIERNEY LCSW
Practice Location Address:

2530 W IOWA ST
CHICAGO, IL
60622-7249

Practice Phone: 612-720-6136
Practice Fax:

1528892437 — ELEVATE YOUR HEALTH PLLC
Practice Location Address:

1706 W NORTH AVE
CHICAGO, IL
60622-2125

Practice Phone: 312-918-7038
Practice Fax:

Directions to “GENTLE GIANT THERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.