GINA FAVIA (SLP) – Speech-Language Pathologist, NPI 1417261538

GINA FAVIA (SLP) is a healthcare provider. based in Lemont, Illinois. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. 146010073 (IL). The NPI Number for GINA FAVIA (SLP) is 1417261538

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
GINA FAVIA (SLP)
NPI
1417261538
Phone
(708) 743-2594
Address
13360 BOND CIR
Enumeration Date
30 July 2010
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476443628
Graduation Year
2008 (18 years ago)
PAC ID
9537408877
Group Practice PAC ID
2264844414
Professional Enrollment ID
I20190304000664
Address ID
IL600622841NO707XXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

446 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IL

Provider Addresses for GINA FAVIA (SLP)

  • 13360 BOND CIR

    LEMONT, IL 604398952

    Phone: (708) 743-2594

    Type: Mailing

  • 1000 N LASALLE ST

    APT 518

    CHICAGO, IL 606102676

    Phone: (708) 743-2594

    Type: Mailing

  • 707 Skokie Blvd Ste 600

    Northbrook, IL 600622841

    Phone: (847) 644-3628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190304000664IQualified Speech Language PathologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264844414View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is the registry number for GINA FAVIA (SLP)?
The registry entry for GINA FAVIA (SLP) shows NPI 1417261538.
Is GINA FAVIA (SLP)'s NPI status active today?
Active status means GINA FAVIA (SLP)'s NPI record is not deactivated in the public file.
What type of care does GINA FAVIA (SLP) provide?
GINA FAVIA (SLP)'s profile centers on Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Which community is linked to GINA FAVIA (SLP)?
GINA FAVIA (SLP) shows a connection to Lemont, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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