Healthcare Provider Details

I. General information

NPI: 1609598309
Provider Name (Legal Business Name): TAMMY LE M.S., CCC-SLP/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W GREEN ST
BENSENVILLE IL
60106-2008
US

IV. Provider business mailing address

1000 W GREEN ST
BENSENVILLE IL
60106-2008
US

V. Phone/Fax

Practice location:
  • Phone: 630-238-7109
  • Fax: 630-860-8340
Mailing address:
  • Phone: 630-238-7109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: