MEDICARE: EMMA SALLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	14551615	IL

General Provider Information

NPI Number	:	1265198501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA SALLEY

Provider Business Mailing Address
First Line	:	407 SUMMIT DR
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60193-3050
Country	:	US
Telephone Number	:	530-113-6053
Fax Number	:

Provider Business Practice Location Address
First Line	:	407 SUMMIT DR
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60193-3050
Country	:	US
Telephone Number	:	847-357-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2021
Last Update Date	:	06/03/2026

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Directions to “ EMMA SALLEY ” Practice Location

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