Provider Demographics
NPI:1740582998
Name:FIGUEROA, MARTHA (MA SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10701 S AVENUE H
Mailing Address - Street 2:APT. 2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-6718
Mailing Address - Country:US
Mailing Address - Phone:773-531-9444
Mailing Address - Fax:
Practice Address - Street 1:10701 S AVENUE H
Practice Address - Street 2:APT. 2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-6718
Practice Address - Country:US
Practice Address - Phone:773-531-9444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-20
Last Update Date:2010-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.001762235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist