SAMANTHA R FORMENTO
NPI 1053834176
Speech-Language Pathologist in New Lenox, IL

Active since July 20, 2017
1621 ANDREA DR, NEW LENOX, IL 60451(779) 435-0724 Get Directions Write a Review

NPPES record last updated: September 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2023, Jul 20, 2017 (2 updates tracked since 2017).

About Samantha R Formento NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA R FORMENTO (NPI 1053834176) is an individual speech-language pathologist provider in New Lenox, Illinois and active in the NPI registry since July 2017. She maintains a secondary practice location in Naperville.

NPPES Registry Identity

NPI1053834176
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSAMANTHA R FORMENTO
Location Address1621 ANDREA DRNew Lenox, IL 60451-2303
Mailing Address2156 Deep Water Ln Ste 110Naperville, IL 60564-8507
Sole ProprietorYes
Enumeration DateJuly 20, 2017
Last NPPES UpdateSeptember 9, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2023
NPI 1053834176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1621 ANDREA DR, New Lenox, IL 60451

Secondary Practice Location 1

Location 12156 Deep Water Ln Ste 110Naperville, IL 60564-8507 · Phone (630) 904-0700

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1621 ANDREA DR
NEW LENOX, IL 60451
Occupational Therapist (Pediatrics)
1621 ANDREA DR
NEW LENOX, IL 60451
Dietitian, Registered
1621 ANDREA DR
NEW LENOX, IL 60451
Speech-Language Pathologist
1621 ANDREA DR
NEW LENOX, IL 60451
Speech-Language Pathologist
1621 ANDREA DR
NEW LENOX, IL 60451
Speech-Language Pathologist
1621 ANDREA DR
NEW LENOX, IL 60451
Speech-Language Pathologist
1621 ANDREA DR
NEW LENOX, IL 60451
Speech-Language Pathologist
1621 ANDREA DR
NEW LENOX, IL 60451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Formento's NPI number?

The NPI number for Samantha Formento is 1053834176. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Samantha Formento located?

Samantha Formento practices at 1621 Andrea Dr, New Lenox, IL 60451. The listed phone number is (779) 435-0724.

What is Samantha Formento's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Samantha Formento was last updated on September 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.