MS. JENNIFER MARIE VAN BLAKE MHS-CCC-SLP NPI 1306267604

NPI Information

  • NPI: 1306267604
  • Provider Name: MS. JENNIFER MARIE VAN BLAKE, MHS-CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 3703 W LAKE AVE
    SUITE 200
    GLENVIEW, IL
    ZIP 60026
  • Phone: (847) 998-1188

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NPI Details

MS. Jennifer Marie Van Blake, MHS-CCC-SLP is a speech language pathologist in Glenview, IL with 24 years of experience. The provider is 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. MS. Jennifer Marie Van Blake, MHS-CCC-SLP NPI is 1306267604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3703 W LAKE AVE
SUITE 200
GLENVIEW, IL
ZIP 60026-223
Phone: (847) 998-1188

The enumeration date for this NPI number is 1/4/2014 and was last updated on 1/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist146.007253ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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