Healthcare Provider Details

I. General information

NPI: 1326962812
Provider Name (Legal Business Name): ISABELLA SOCORRO FIORENZA M.S., SLP-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 MADISON ST
OAK PARK IL
60302-4449
US

IV. Provider business mailing address

3912 N GREENVIEW AVE APT 1
CHICAGO IL
60613-7043
US

V. Phone/Fax

Practice location:
  • Phone: 708-725-1081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: