Provider Demographics
NPI:1902399280
Name:CAPUTO, LAUREN PAIGE (SLP-CF)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:PAIGE
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 FOUNDERS POINTE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1440
Mailing Address - Country:US
Mailing Address - Phone:630-441-6177
Mailing Address - Fax:
Practice Address - Street 1:975 E NERGE RD STE N40
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-4809
Practice Address - Country:US
Practice Address - Phone:630-403-8559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist