Provider Demographics
NPI:1700773033
Name:PENNING, BAILEY SUE (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:SUE
Last Name:PENNING
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 MAPLE AVE APT 409
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-7405
Mailing Address - Country:US
Mailing Address - Phone:712-540-6150
Mailing Address - Fax:
Practice Address - Street 1:24037 W OAK ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-2834
Practice Address - Country:US
Practice Address - Phone:815-905-7028
Practice Address - Fax:815-834-7180
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist