BRANDON R WIGBOLDY MS CCC-SLP/L
NPI 1285178277
Speech-Language Pathologist in Tinley Park, IL

Active since December 09, 2016
17207 71ST AVE, TINLEY PARK, IL 60477(708) 362-4603 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon R Wigboldy Ms Ccc-slp/l NPPES

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

BRANDON R WIGBOLDY MS CCC-SLP/L (NPI 1285178277) is an individual speech-language pathologist provider in Tinley Park, Illinois, licensed in Illinois (146011666) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1285178277
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameBRANDON R WIGBOLDYCredential: MS CCC-SLP/L
Location Address17207 71ST AVETinley Park, IL 60477-3303
Mailing Address17207 71st AveTinley Park, IL 60477-3303 · (708) 362-4603
Sole ProprietorYes
Enumeration DateDecember 9, 2016
NPI 1285178277 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
License Licensed in IL · 146011666
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.
17207 71ST AVE, Tinley Park, IL 60477

Other Providers at the Same Location NPPES

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

Developmental Therapist
17207 71ST AVE
TINLEY PARK, IL 60477

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 Brandon Wigboldy's NPI number?

The NPI number for Brandon Wigboldy is 1285178277. It was assigned to this individual provider in the NPPES registry on December 9, 2016.

Where is Brandon Wigboldy located?

Brandon Wigboldy practices at 17207 71st Ave, Tinley Park, IL 60477. The listed phone number is (708) 362-4603.

What is Brandon Wigboldy'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 Brandon Wigboldy was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.