Provider Demographics
NPI:1538642517
Name:SANCHEZ-SANTILLAN, PAULINA (MS CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:SANCHEZ-SANTILLAN
Suffix:
Gender:F
Credentials:MS CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 LANDING DR APT 2B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5015
Mailing Address - Country:US
Mailing Address - Phone:630-770-1046
Mailing Address - Fax:
Practice Address - Street 1:230 S ORCHARD DR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2600
Practice Address - Country:US
Practice Address - Phone:630-759-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.014389235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty