Healthcare Provider Details

I. General information

NPI: 1255963211
Provider Name (Legal Business Name): RUTH MARIE CAPUTO SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 MAIN ST STE 211
DOWNERS GROVE IL
60516-3453
US

IV. Provider business mailing address

6651 DUNHAM RD
DOWNERS GROVE IL
60516-2636
US

V. Phone/Fax

Practice location:
  • Phone: 630-473-9785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146028939
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2020003918
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: