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Lydia L. Maxwell, M.A. CCC-SLP

NPI 1114161734ActiveIndividual· Speech-Language Pathologist· Tinley Park, IL

Speech-Language Pathologist (M.A. CCC-SLP) with Healthpro Heritage Rehab and Fitness LLC and 1 other group, practicing in Tinley Park, Illinois. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.

Overview

NPI1114161734
StatusActive
Entity typeIndividual
CredentialM.A. CCC-SLP
Sole proprietorYes
NPI issuedApr 27, 2009
Last updated in NPPESAug 20, 2024
Certified by providerAug 20, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X146.009375IL
Speech-Language Pathologist235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (IL); Practitioner - Qualified Speech Language Pathologist (IN)

Medicare sources and data years

Education and affiliations

Graduation year2017
Medicare specialtyQualified Speech Language Pathologist

Medical groups

Source: CMS Care Compare

Other speech-language pathologists in Tinley Park

All 71 speech-language pathologists in Tinley Park · All speech-language pathologists in Illinois