MEDICARE: WILLOW ROOTS SPEECH & LANGUAGE LLC

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

General Provider Information

NPI Number	:	1366308215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLOW ROOTS SPEECH & LANGUAGE LLC

Provider Business Mailing Address
First Line	:	7622 CHURCH ST
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-1617
Country	:	US
Telephone Number	:	818-422-6089
Fax Number	:

Provider Business Practice Location Address
First Line	:	7622 CHURCH ST
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-1617
Country	:	US
Telephone Number	:	818-422-6089
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST / OWNER
Name	:	NATASHA V. GIGLIOTTI
Credential	:	MA CCC-SLP BCS-SCF
Telephone Number	:	818-422-6089

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “WILLOW ROOTS SPEECH & LANGUAGE LLC ” Practice Location

Language	Start Address	Practice Location

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