Healthcare Provider Details

I. General information

NPI: 1396083572
Provider Name (Legal Business Name): LAURA FLAHAVEN MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2013
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 SILVER GLEN RD
SOUTH ELGIN IL
60177-3351
US

IV. Provider business mailing address

7358 N LINCOLN AVE STE 160
LINCOLNWOOD IL
60712-1797
US

V. Phone/Fax

Practice location:
  • Phone: 224-407-8994
  • Fax:
Mailing address:
  • Phone: 847-983-8750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.010714
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: