Healthcare Provider Details
I. General information
NPI: 1235043654
Provider Name (Legal Business Name): JADA MALDONADO M.S. CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15255 S HARLEM AVE
ORLAND PARK IL
60462-4418
US
IV. Provider business mailing address
195 N HARBOR DR APT 3806
CHICAGO IL
60601-7535
US
V. Phone/Fax
- Phone: 708-226-9200
- Fax:
- Phone: 630-888-1022
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 242.018870 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: