Maciel Roa

Speech-Language Pathologist · Forest Park, IL

Individual Active NPI

NPI number 1659072387

Practice location

7423 Madison St
Forest Park, IL 60130-1502
Phone
(708) 435-4130

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NPI record

NPI
1659072387
Entity type
Individual (Type 1)
Enumeration date
March 10, 2023
Last updated
July 11, 2026
Certified
July 11, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 242.018634 IL

Mailing address

2535 Gunderson Ave
Berwyn, IL 60402-2645
Phone
(773) 574-1106

About Maciel Roa

Maciel Roa is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 7423 Madison St, Forest Park, IL 60130-1502. The NPI number 1659072387 was assigned on March 10, 2023 and the record was last updated on July 11, 2026.

Maciel Roa lists a license in the registry: #242.018634 (IL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maciel Roa?

The NPI number is 1659072387.

What is the phone number of Maciel Roa?

The phone number listed for the practice location is (708) 435-4130.

Where is Maciel Roa located?

7423 Madison St, Forest Park, IL 60130-1502.

What is the taxonomy code for Maciel Roa?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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