MRS. DEBORAH PROVENZANO SLPA
NPI 1164548376
Specialist/Technologist - Speech-Language Assistant in Chicago, IL

Active since March 21, 2007
9736 S HAMILTON AVE, CHICAGO, IL 60643(773) 343-8484(773) 305-0954 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Deborah Provenzano Slpa NPPES

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

MRS. DEBORAH PROVENZANO SLPA (NPI 1164548376) is an individual speech-language assistant in Chicago, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1164548376
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameMRS. DEBORAH PROVENZANOCredential: SLPA
Location Address9736 S HAMILTON AVEChicago, IL 60643-1644
Mailing Address9736 S Hamilton AveChicago, IL 60643-1644 · (773) 343-8484 · Fax (773) 305-0954
Fax(773) 305-0954
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1164548376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
9736 S HAMILTON AVE, Chicago, IL 60643

Other Identifiers 1

Other01635583IL · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
9736 S HAMILTON AVE
CHICAGO, IL 60643
Speech-Language Pathologist
9736 S HAMILTON AVE
CHICAGO, IL 60643
Specialist
9736 S HAMILTON AVE
CHICAGO, IL 60643

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 Deborah Provenzano's NPI number?

The NPI number for Deborah Provenzano is 1164548376. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Deborah Provenzano located?

Deborah Provenzano practices at 9736 S Hamilton Ave, Chicago, IL 60643. The listed phone number is (773) 343-8484.

What is Deborah Provenzano's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Deborah Provenzano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.