MEDICARE: MAYA PATEL M.S., CF-SLP

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	242.018573	IL

General Provider Information

NPI Number	:	1912835570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYA PATEL M.S., CF-SLP

Provider Business Mailing Address
First Line	:	4N612 CAMPTON CROSSINGS DR
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60175-6543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 IL ROUTE 22
Second Line	:
City	:	FOX RIVER GROVE
State	:	IL
Zip	:	60021-1905
Country	:	US
Telephone Number	:	224-219-1924
Fax Number	:	224-526-5156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ MAYA PATEL M.S., CF-SLP” Practice Location

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