Healthcare Provider Details

I. General information

NPI: 1932016375
Provider Name (Legal Business Name): SARAH MAYO SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

698 SCARBROUGH CIR
HOFFMAN ESTATES IL
60169-2716
US

IV. Provider business mailing address

27713 W DRAKE DR APT 220
CHANNAHON IL
60410-8692
US

V. Phone/Fax

Practice location:
  • Phone: 847-254-7838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number217.010793
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: